Organization
SAMUEL T JUDD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL T JUDD DDS (OWNER)
(574) 533-7621
Entity
Organization
Contact information
Practice address
201 PRINGLE DR, GOSHEN, IN 46526-1419
(574) 533-7621
(574) 533-1072
Mailing address
201 PRINGLE DR, GOSHEN, IN 46526-1419
(574) 533-7621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007483
IN
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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