Individual
DR. GRIFFIN B UDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
44 DALE RD STE 2, AVON, CT 06001-3676
(860) 677-6405
(860) 677-1189
Mailing address
44 DALE RD STE 2, AVON, CT 06001-3676
(860) 677-6405
(860) 677-1189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12712
CT
122300000X
Dentist
DN1856847
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
03/24/2021
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