Individual
DR. CHARLES EDWARD KUDWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 WEST LAKE ST, TAWAS CITY, MI 48763
(989) 362-8673
(989) 362-2771
Mailing address
510 WEST LAKE ST, PO BOX 240, TAWAS CITY, MI 48764-0240
(989) 362-8673
(989) 362-2771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012520
MI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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