GLENN M KIDDER

BATON ROUGE, LA
NPI1952453425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  3425)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Dr. GLENN M KIDDER DDS
12036 JUSTICE AVE
BATON ROUGE, LA 70816-5325
Phone number: 225-292-4158
Mailing Address
Dr. GLENN M KIDDER DDS
12036 JUSTICE AVE
BATON ROUGE, LA 70816-5325
Phone number: 225-292-4158