Individual
ANNE MARIE MCCOY PUDLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Mailing address
301 E 68TH TER, KANSAS CITY, MO 64113-2457
(314) 299-8652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2021048523
MO
122300000X
Dentist
Primary
61950
KS
Other
Enumeration date
05/10/2022
Last updated
06/24/2022
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