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Individual

DR. MICHELLE J HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
401-55 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3644
(215) 291-2500
(215) 291-2580
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027577L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001622981
PA
Enumeration date
04/20/2006
Last updated
06/14/2011
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