Individual
DR. DAVID MATTHEW UDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14213 GOLF COURSE RD, #100, BAXTER, MN 56425-8432
(218) 829-4511
Mailing address
11700 WOOD DR SW, BRAINERD, MN 56401-2386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13112
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2012
Last updated
05/30/2012
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