Individual
DR. JEFF HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1300 W LODI AVE, SUITE M, LODI, CA 95242-3000
(209) 333-0374
Mailing address
477 RIVER MEADOWS DR, WOODBRIDGE, CA 95258-9312
(209) 369-5548
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
31285
CA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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