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Individual

DR. MATTHEW EDWARD DUDZIAK

Active
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Individual

DR. MATTHEW EDWARD DUDZIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5440
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
73
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A98904
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD200551
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD428786
PA

Other

Enumeration date
03/30/2007
Last updated
03/06/2008
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