Individual
MR. WILLIAM MELVIN TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
Mailing address
8310 E SAN SALVADOR DR, SCOTTSDALE, AZ 85258-1835
(480) 368-7997
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
562
AK
124Q00000X
Dental Hygienist
Primary
H5216
AZ
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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