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Provider Information for 1265650519



DR. TIMOTHY DUANE HUBBS DDS

Gender: MALE

Individual NPI: 1265650519

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1265650519
Enumeration Date 2007-04-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1074 CONCANNON BLVD
LIVERMORE, CA 94550-6402
United States

Phone: 925-443-7645 | Fax: 925-449-2666
View Map External Link
Primary Practice Address 1074 CONCANNON BLVD
LIVERMORE, CA 94550-6402
United States

Phone: 925-443-7645 | Fax: 925-449-2666
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 44700
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location