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Individual

DR. CHRISTOPHER PAUL KITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7223 MISSISSIPPI AVE, BLDG #1561, ATTN: CREDENTIALS COORDINATOR, FORT POLK, LA 71459-5110
(337) 531-2327
(337) 531-6356
Mailing address
7223 MISSISSIPPI AVENUE, BLDG #1561, USA DENTAL ACTIVITY ATTN: CREDENTIALS COORDINATOR, FORT POLK, LA 71459-5110
(337) 531-2327
(337) 531-6356

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6427
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
L476270
MI

Other

Enumeration date
08/29/2007
Last updated
09/22/2015
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