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Individual
DR. ANDREW PETER SHOLUDKO
Active
Individual
DR. ANDREW PETER SHOLUDKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60484387
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE6484387
WA DENTAL LICENSE
WA
Enumeration date
07/16/2013
Last updated
03/07/2023
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