Individual
MS. PATRICIA PASS-DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
516 GREAT OAKS DRIVE, MONROE, GA 30655
(770) 207-5158
(770) 207-5160
Mailing address
146 ML KING BLVD, PMB #387, MONROE, GA 30655
(770) 207-5158
(770) 207-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011419
GA
Other
Enumeration date
06/23/2006
Last updated
09/06/2007
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