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Individual

DR. JOHN W HUDSON

Active
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Individual

DR. JOHN W HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS006030
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2901014026
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS006030
TN
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
CERTIFICATE
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
CERTIFICATE
CA

Other

Enumeration date
07/24/2006
Last updated
04/17/2008
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