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DR. JUDY HULBERT-ANDERSON DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1386771905
Individual Registrant:DR. JUDY HULBERT-ANDERSON DDS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
101 WEST COAST RD. REDWAY, CA 95560-0769 US
Tel: 707-923-4313 Fax: 707-923-2590
Tel: 707-923-4313 Fax: 707-923-2590
Contact information for business:
105 PASEO DEL CANON W # B TAOS, NM 87571-6394 US
Tel: 505-758-7337 Fax: 505-751-0348
Tel: 505-758-7337 Fax: 505-751-0348
Registration Information:
NPI: 1386771905
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | NM | DD1787 |
| Y | 1223G0001X | Dental Providers Dentist | CA | 54079 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE NUMBER | DD1787 | NM | 01 |
| DENTAL BOARD OF CA | 54079 | CA | 01 |
