Individual
PHILIP M HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 W CASCADE WAY, SUITE D, SPOKANE, WA 99208-6003
(509) 467-1234
(509) 467-1235
Mailing address
123 W CASCADE WAY, SUITE D, SPOKANE, WA 99208-6003
(509) 467-1234
(509) 467-1235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05730
DELTA ID
WA
Enumeration date
04/11/2007
Last updated
07/08/2007
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