Individual
MICHAEL PUDERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 312-1185
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 312-1185
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000024
WA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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