Individual
DR. DUSTIN MITCHELL KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6535 PERKINS RD, BATON ROUGE, LA 70808-4259
(225) 761-8585
(225) 761-1979
Mailing address
6535 PERKINS RD, BATON ROUGE, LA 70808-4259
(225) 761-8585
(225) 761-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5901
LA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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