Individual
DR. JOHN ROBERT KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 N MAIN ST, COLVILLE, WA 99114-2104
(509) 684-5800
(509) 684-5900
Mailing address
510 N MAIN ST, COLVILLE, WA 99114-2104
(509) 684-5800
(509) 684-5900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5179
WA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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