KEVIN ALLEN KIDDER

PORT ALLEN, LA
NPI1992068860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6277)
Enumeration Date2012-06-16
Last Update Date2012-06-16
Business Address
Dr. KEVIN ALLEN KIDDER D.D.S.
260 S ALEXANDER AVE
PORT ALLEN, LA 70767-3016
Phone number: 225-372-8716
Mailing Address
Dr. KEVIN ALLEN KIDDER D.D.S.
260 S ALEXANDER AVE
PORT ALLEN, LA 70767-3016
Phone number: 225-372-8716
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