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Individual

MICHAEL S DUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
534 GREEN BAY RD, KENILWORTH, IL 60043-1801
(847) 251-5136
Mailing address
2035 W DICKENS AVE, CHICAGO, IL 60647-4530
(847) 571-0766

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028318
IL

Other

Enumeration date
06/15/2010
Last updated
05/21/2015
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