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Individual

DR. DOUGLAS HUDOBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
169 OH-3, SUNBURY, OH 43074
(614) 450-0025
Mailing address
3111 COLUMBUS ST, GROVE CITY, OH 43123-2762
(614) 871-0088

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024450
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133315
OH
Enumeration date
05/19/2015
Last updated
07/19/2016
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