Organization
TARA HUDSON DDS PC
Active
Other names
hudson family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L HUDSON DDS (PRESIDENT)
(360) 659-5611
Entity
Organization
Contact information
Practice address
1622 GROVE ST, MARYSVILLE, WA 98270-4302
(360) 659-5611
(360) 653-9577
Mailing address
1622 GROVE ST, MARYSVILLE, WA 98270-4302
(360) 659-5611
(360) 653-9577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5041264
—
WA
Enumeration date
10/05/2006
Last updated
08/22/2020
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