Individual
DR. DAVID G HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
750 E BELTLINE AVE NE STE 203, GRAND RAPIDS, MI 49525-6046
(616) 957-4700
Mailing address
750 E BELTLINE AVE NE STE 203, GRAND RAPIDS, MI 49525-6046
(616) 957-4700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012904
LICENSE NUMBER
MI
01
—
2901012904
BOARD OF DENTISTRY DENTIS
MI
Enumeration date
07/28/2006
Last updated
09/25/2013
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