Organization
HUMMELGARD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN HUMMELGARD DDS (DENTIST)
(952) 913-8225
Entity
Organization
Contact information
Practice address
103 S 36TH ST, SAINT JOSEPH, MO 64506-2920
(816) 364-1186
Mailing address
103 S 36TH ST, SAINT JOSEPH, MO 64506-2920
(816) 364-1186
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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