Organization
DUDLEY KATZ D.D.S.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUDLEY KATZ D.D.S. (OWNER/PRESIDENT)
(410) 604-2222
Entity
Organization
Contact information
Practice address
101 SAINT CLAIRE PL, SUITE 102, STEVENSVILLE, MD 21666-2171
(410) 604-2222
Mailing address
101 SAINT CLAIRE PL, SUITE 102, STEVENSVILLE, MD 21666-2171
(410) 604-2222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6206
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138454600
—
MD
Enumeration date
06/03/2008
Last updated
06/03/2008
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