Individual
DR. JAMES TRISTAN RAY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
513 S DODSON RD APT Q4, ROGERS, AR 72758-7318
(479) 871-4313
Mailing address
701 NW MCNELLY RD STE 13, BENTONVILLE, AR 72712-9160
(479) 553-9225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7052
OK
Other
Enumeration date
05/29/2018
Last updated
05/16/2019
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