Individual
CREED WHITE JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
943 S IRBY ST, SUITE A, FLORENCE, SC 29501-5238
(843) 673-0075
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 562-4461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4384
SC
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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