Organization
DARREN S HUDDLESTON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN S HUDDLESTON DMD PC (OWNER)
(541) 476-8788
Entity
Organization
Contact information
Practice address
1035 NE 6TH STREET, SUITE A, GRANTS PASS, OR 97526
(541) 476-8788
(541) 471-0400
Mailing address
1035 NE 6TH STREET, SUITE A, GRANTS PASS, OR 97526
(541) 476-8788
(541) 471-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7749
OR
1223G0001X
General Practice Dentistry
Primary
7749
OR
Other
Enumeration date
11/02/2005
Last updated
05/03/2016
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