Provider Demographics
NPI:1447226881
Name:HUBBS, EUPHRA CLARK III (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUPHRA
Middle Name:CLARK
Last Name:HUBBS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W 5TH ST
Mailing Address - Street 2:SUITE 755
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90071-2004
Mailing Address - Country:US
Mailing Address - Phone:213-622-3339
Mailing Address - Fax:213-622-4044
Practice Address - Street 1:601 W 5TH ST
Practice Address - Street 2:SUITE 755
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-2004
Practice Address - Country:US
Practice Address - Phone:213-622-3339
Practice Address - Fax:213-622-4044
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21316122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist