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1114015708
JEFF HUSTON
LODI, CA
NPI
1114015708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 31285)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. JEFF HUSTON DDS, MS
1300 W LODI AVE SUITE M
LODI, CA 95242-3000
Phone number: 209-333-0374
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Mailing Address
Dr. JEFF HUSTON DDS, MS
477 RIVER MEADOWS DR
WOODBRIDGE, CA 95258-9312
Phone number: 209-369-5548
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