Individual
YURIY G UDOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 848-2331
Mailing address
10303 20TH ST E APT K303, EDGEWOOD, WA 98372-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61040363
WA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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