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Individual

MR. JAMES OLLIE HUISINGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
28 FOX VALLEY CENTER, ARNOLD, MO 63010-4882
(636) 296-0151
(636) 296-0151
Mailing address
28 FOX VALLEY CENTER, ARNOLD, MO 63010-4882
(636) 296-0151
(636) 296-0151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10396
MO

Other

Enumeration date
11/26/2008
Last updated
11/26/2008
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