Individual
DR. MICHAEL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1811 LINDENWOOD AVE, EDWARDSVILLE, IL 62025-2580
(618) 659-0456
Mailing address
2424 S 9TH ST APT 310, SAINT LOUIS, MO 63104-4720
(217) 361-7888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033306
IL
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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