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1801112073
DUSTIN MITCHELL KIDDER
BATON ROUGE, LA
NPI
1801112073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5901)
Enumeration Date
2010-04-13
Last Update Date
2010-04-13
Business Address
Dr. DUSTIN MITCHELL KIDDER D.D.S.
6535 PERKINS RD
BATON ROUGE, LA 70808-4259
Phone number: 225-761-8585
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Mailing Address
Dr. DUSTIN MITCHELL KIDDER D.D.S.
6535 PERKINS RD
BATON ROUGE, LA 70808-4259
Phone number: 225-761-8585
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