NPI | 1265846596 |
---|---|
Other Name | HUBBARD FAMILY DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | SUZANNE MARGUERITE HUBBARD Dental Hygienist 970-301-1363 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CO 905326) |
Enumeration Date | 2014-06-14 |
Last Update Date | 2014-06-14 |