Brendan Hubbard
Brendan Hubbard is a Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Fort Wayne, INNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 500 Indiana Ave, Winslow, AZ 86047-2169 — (928) 289-4646
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 12014129A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1467194233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2022 |
| Last updated in NPPES | June 14, 2023 |
| Certification date | June 14, 2023 |
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