Organization
JOHN W HUDDART DDS LLC
Active
Other names
Lathrop Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W HUDDART DDS (OWNER)
(816) 740-4294
Entity
Organization
Contact information
Practice address
611 OAK ST, LATHROP, MO 64465-9737
(816) 740-4294
(816) 528-4295
Mailing address
611 OAK ST, P.O. BOX 79, LATHROP, MO 64465-9737
(816) 740-4294
(816) 528-4295
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2001014206
MO
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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