Individual
JOSHUA EZEKIEL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
900 MAIN ST # A, CONWAY, SC 29526-4063
(843) 488-3710
Mailing address
3775 SWEETGUM ST, MYRTLE BEACH, SC 29577-5119
(248) 250-4272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4503
SC
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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