Individual
JOSHUA A HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2404 E WASHINGTON ST, EAST PEORIA, IL 61611-1859
(309) 699-5521
(309) 699-7050
Mailing address
2404 E WASHINGTON ST, EAST PEORIA, IL 61611-1859
(309) 699-5521
(309) 699-7050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029020
IL
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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