Individual
DR. HANNAH MACKENZIE KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2D DENBN/NDC, PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
Mailing address
2DENBN/NDC CAMP LEJEUNE, PSC BOX 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542
(910) 451-1658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN26200
FL
1223G0001X
General Practice Dentistry
Primary
13661
NC
1223G0001X
General Practice Dentistry
DN26200
FL
Other
Enumeration date
10/26/2021
Last updated
01/07/2025
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