Individual
DR. DARYL JAMES DUDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1748 NOVATO BLVD STE 200, NOVATO, CA 94947-7855
(415) 898-7093
(415) 898-0563
Mailing address
3495 FREEMAN RD, WALNUT CREEK, CA 94595-1311
(310) 266-6515
(415) 898-0563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10267
MA
1223E0200X
Endodontics
25288
TX
1223E0200X
Endodontics
Primary
57731
CA
Other
Enumeration date
08/27/2008
Last updated
03/27/2014
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