Individual
BRIAN J HUDEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15509 MADISON AVE, CLEVELAND, OH 44107-4023
(216) 226-8750
Mailing address
15509 MADISON AVENUE, LAKEWOOD, OH 44107
(216) 226-8750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203483
CO
Other
Enumeration date
02/20/2017
Last updated
08/01/2019
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