Jerald Hamblin

NPI #1922281971 in Gladstone, Missouri

Provider Information

NPI Number: 1922281971
Entity Type: Individual
Name: Jerald Hamblin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 6301 N OAK TRFY
Address 2: SUITE 202
City: Gladstone
State: Missouri
ZIP Code: 64118-4705
Phone: (816) 452-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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