Individual
WAYNE H DUDLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2600
(702) 653-2682
Mailing address
510 FIRST LIGHT ST, HENDERSON, NV 89052-2653
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
143697-9924
UT
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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