Organization
BRAD HUDSON, DDS, MS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRADLEY HUDSON D.D.S. (OWNER)
(703) 451-4666
Entity
Organization
Contact information
Practice address
6116 ROLLING RD, SUITE 201, SPRINGFIELD, VA 22152-1521
(703) 451-4666
Mailing address
6116 ROLLING RD, SUITE 201, SPRINGFIELD, VA 22152-1521
(703) 451-4666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413645
VA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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