Individual
JAY KENNETH HUFFAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3014
(323) 467-1472
(323) 467-1950
Mailing address
402 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3014
(323) 467-1472
(323) 467-1950
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30091
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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