Individual
CHRISTINE J GUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13361 LINCOLN PLAZA WAY, CEDAR LAKE, IN 46303-9639
(219) 374-2400
(219) 374-2750
Mailing address
13361 LINCOLN PLAZA WAY, CEDAR LAKE, IN 46303-9639
(219) 374-2400
(219) 374-2750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867070
—
IN
Enumeration date
01/16/2008
Last updated
11/04/2014
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