Individual
DR. EARL E. UDAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8930 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 676-2288
(734) 676-5868
Mailing address
8930 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 676-2288
(734) 676-5868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10197
DENTAL LICENSE
MI
Enumeration date
01/06/2007
Last updated
07/08/2007
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