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PATRICIA PASS-DUDLEY DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA PASS-DUDLEY DDS (OWNER)
(770) 207-5158
Entity
Organization

Contact information

Practice address
516 GREAT OAKS DR, MONROE, GA 30655-8211
(770) 207-5158
(770) 207-5160
Mailing address
146 MARTIN LUTHER KING JR BLVD # 387, MONROE, GA 30655-5620
(770) 207-5158
(770) 207-5160

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/24/2017
Last updated
05/24/2017
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