Individual
KAYLA LOUANN HUDIMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
19 GARTON PLZ, WESTON, WV 26452-2128
(304) 269-6151
Mailing address
19 GARTON PLZ, WESTON, WV 26452-2128
(304) 269-6151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4212
WV
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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