Organization
DR. JOSEPH M. DUDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MATTHEW DUDA DMD (ORAL SURGEON)
(304) 255-1411
Entity
Organization
Contact information
Practice address
150 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 255-1411
(304) 255-5111
Mailing address
150 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 255-1411
(304) 255-5111
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
3202
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138072000
—
WV
Enumeration date
08/29/2006
Last updated
08/22/2020
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