DUSTIN MITCHELL KIDDER

BATON ROUGE, LA
NPI1801112073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: LA  5901)
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
DR. DUSTIN MITCHELL KIDDER D.D.S.
6535 PERKINS RD
BATON ROUGE, LA 70808-4259
Phone number: 225-761-8585
Mailing Address
DR. DUSTIN MITCHELL KIDDER D.D.S.
6535 PERKINS RD
BATON ROUGE, LA 70808-4259
Phone number: 225-761-8585