Individual
CHARLES H UDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7345 MEDICAL CENTER DR, SUITE 330, WEST HILLS, CA 91307-1910
(818) 346-6282
(818) 346-5174
Mailing address
7345 MEDICAL CENTER DR, SUITE 330, WEST HILLS, CA 91307-1910
(818) 346-6282
(818) 346-5174
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B21659
DENTI-CAL
CA
Enumeration date
08/24/2005
Last updated
07/08/2007
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