Individual
DR. BETHELEN O PUDIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2116 N SHERIDAN RD, PEORIA, IL 61604-3457
(309) 679-6141
Mailing address
5428 W STONEBRIDGE CT, PEORIA, IL 61615-2268
(309) 679-6140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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