Individual
MR. SCOTT BRANIN DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSED, FAGD
Contact information
Practice address
1025 N FILLMORE STREET, SUITE C, ARLINGTON, VA 22201
(703) 243-4500
(703) 243-4100
Mailing address
1025 N FILLMORE STREET, SUITE C, ARLINGTON, VA 22201
(703) 243-4500
(703) 243-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412031
VA
122300000X
Dentist
22D102229700
NJ
122300000X
Dentist
7973
NC
122300000X
Dentist
DEN1000421
DC
Other
Enumeration date
09/19/2005
Last updated
08/18/2016
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