# DARYL DUDUM DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669381489
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 1748 NOVATO BLVD STE 200, NOVATO, CA 94947-7855
- **Practice address phone:** (415) 898-0563
- **Practice address fax:** (415) 898-0563
- **Mailing address:** 1748 NOVATO BLVD STE 200, NOVATO, CA 94947-7855
- **Mailing address phone:** (415) 898-7093
- **Mailing address fax:** (415) 898-0563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2026
- **Last updated:** 09/07/2026