Individual
BRYAN GARDNER JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1603 EUREKA RD, SUITE 200, ROSEVILLE, CA 95661-3028
(916) 789-2552
(916) 789-8664
Mailing address
1603 EUREKA RD, SUITE 200, ROSEVILLE, CA 95661-3028
(916) 789-2552
(916) 789-8664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32862
CA
Other
Enumeration date
04/19/2007
Last updated
01/10/2013
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