Individual
DR. JOHN HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
413 WALMART DR, SULLIVAN, MO 63080-3327
(573) 468-3289
(573) 468-3303
Mailing address
413 WALMART DR, SULLIVAN, MO 63080-3327
(573) 468-3289
(573) 468-3303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2001032676
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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