Organization
JOHN A HUDEC DDS SPECIALTY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A HUDEC DDS (PRESIDENT)
(216) 398-8900
Entity
Organization
Contact information
Practice address
3329 BROADVIEW RD, CLEVELAND, OH 44109-3315
(216) 661-8100
(216) 741-3131
Mailing address
3329 BROADVIEW RD, CLEVELAND, OH 44109-3315
(216) 661-8100
(216) 741-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351191
—
OH
Enumeration date
07/06/2006
Last updated
10/11/2007
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