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Individual

DR. JAMES DAVID PURDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
745 SOMMERS ST N, HUDSON, WI 54016-2314
(715) 381-9785
Mailing address
745 SOMMERS ST N, HUDSON, WI 54016-2314
(715) 381-9785

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5625
WI
1223G0001X
General Practice Dentistry
D11783
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33781000
WI
Enumeration date
10/17/2006
Last updated
07/09/2007
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