| Delores Hubbard D D S L L C | |
|
1784 Washington Ave East Point GA 30344-4148 | |
| (404) 766-8559 | |
| (404) 766-7742 |
| Full Name | Delores Hubbard D D S L L C |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1784 Washington Ave, East Point, Georgia |
| Authorized Official Name and Position | Delores Hubabrd (OWNER/DENTIST) |
| Authorized Official Contact | 4047668559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delores Hubbard D D S L L C 1784 Washington Ave East Point GA 30344-4148 Ph: (404) 766-8559 | Delores Hubbard D D S L L C 1784 Washington Ave East Point GA 30344-4148 Ph: (404) 766-8559 |
| NPI Number | 1801060629 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801060629 | NPI | - | NPPES |
| 00220712C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9437 (Georgia) | Primary |
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