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1356058507
HUMMELGARD DDS LLC
SAINT JOSEPH, MO
NPI
1356058507
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Entity Type
Organization
Authorized Contact
JUSTIN HUMMELGARD
Dentist
952-913-8225
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
HUMMELGARD DDS LLC
103 S 36TH ST
SAINT JOSEPH, MO 64506-2920
Phone number: 816-364-1186
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Mailing Address
HUMMELGARD DDS LLC
103 S 36TH ST
SAINT JOSEPH, MO 64506-2920
Phone number: 816-364-1186
Copy
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