Organization
MONIQUE HUDSON,DDS, PA
Active
Other names
Monroe Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE HUDSON DDS (DENTIST)
(704) 289-1105
Entity
Organization
Contact information
Practice address
2200 WALTERS DIVISION RD, MONROE, NC 28110-8562
(704) 289-1105
(704) 289-6269
Mailing address
2200 WALTERS DIVISION RD, MONROE, NC 28110-8562
(704) 289-1105
(704) 289-6269
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7370
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899019K
—
NC
Enumeration date
07/12/2016
Last updated
07/12/2016
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