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Organization

HUCKABEE & HUCKABEE DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL J HUCKABEE D.D.S. (PRESIDENT)
(816) 350-1007
Entity
Organization

Contact information

Practice address
4701 LOGAN AVE, KANSAS CITY, MO 64136-1161
(816) 350-1007
(816) 350-1975
Mailing address
4701 LOGAN AVE, KANSAS CITY, MO 64136-1161
(816) 350-1007
(816) 350-1975

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015721
MO

Other

Enumeration date
04/11/2007
Last updated
08/22/2020
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