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Individual
LAWRENCE STEPHEN DUDA
Active
Individual
LAWRENCE STEPHEN DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000460384003
BSNENY
NY
01
—
10005048
CDPHP
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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