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1952453425
GLENN M KIDDER
BATON ROUGE, LA
NPI
1952453425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 3425)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
Dr. GLENN M KIDDER DDS
12036 JUSTICE AVE
BATON ROUGE, LA 70816-5325
Phone number: 225-292-4158
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Mailing Address
Dr. GLENN M KIDDER DDS
12036 JUSTICE AVE
BATON ROUGE, LA 70816-5325
Phone number: 225-292-4158
Copy
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