Individual
DR. JOHN S. DUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2800 NILES RD, SAINT JOSEPH, MI 49085-3317
(269) 429-2511
Mailing address
2800 NILES RD, SAINT JOSEPH, MI 49085-3317
(269) 429-5854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9983
LICENSE NUMBER
MI
Enumeration date
11/01/2006
Last updated
07/08/2007
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