Individual
DR. STAN M UDOUJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
520 S 14TH ST, FORT SMITH, AR 72901-4608
(479) 782-3005
(479) 494-7490
Mailing address
520 S 14TH ST, FORT SMITH, AR 72901-4608
(479) 782-3005
(479) 494-7490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2725
AR
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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