Individual
BENJAMIN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3011 25TH ST S, FARGO, ND 58103-6162
(701) 280-0088
Mailing address
2766 41ST ST S APT 316, FARGO, ND 58104-9095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2434
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2434
NORTH DAKOTA BOARD OF DENTAL EXAMINERS
ND
Enumeration date
06/23/2021
Last updated
06/23/2021
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