Individual
DR. BRIAN W DUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
845 W EAST AVE, CHICO, CA 95926-2002
(530) 896-9400
Mailing address
257 N BUTTE ST, WILLOWS, CA 95988-2803
(530) 330-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G92983-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
11/08/2005
Last updated
04/26/2023
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