Individual
DR. MATTHEW EDWARD DUDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
8112 MILLIKEN AVE, SUITE 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Mailing address
8112 MILLIKEN AVE, SUITE 102, RANCHO CUCAMONGA, CA 91730-7471
(909) 581-7761
(909) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5440
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
73
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A98904
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD200551
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD428786
PA
Other
Enumeration date
03/30/2007
Last updated
03/06/2008
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