| NPI | 1801060629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES HUBABRD Owner/Dentist 404-766-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9437) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |