Individual
EMILEE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
507 N 3RD ST, MABANK, TX 75147-8328
(903) 603-4406
Mailing address
1028 MORNINGSIDE CT, MESQUITE, TX 75150-2974
(208) 521-8295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35175
TX
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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