Individual
DAVID E HUDEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12409 LORAIN AVENUE, CLEVELAND, OH 44111-3515
(216) 252-6622
(216) 252-4462
Mailing address
12409 LORAIN AVENUE, CLEVELAND, OH 44111-3515
(216) 252-6622
(216) 252-4462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-018515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796947
—
OH
Enumeration date
07/18/2006
Last updated
12/20/2012
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