Individual
DR. VAL L KUDRYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3103 CLEARWATER DR, SUITE A, PRESCOTT, AZ 86305-7165
(928) 443-0955
(928) 443-0931
Mailing address
190 MISTY MEADOW CIR, PRESCOTT, AZ 86303-5819
(928) 443-9151
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6792
AZ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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