Individual
DR. JOSEPH MATTHEW DUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 255-1411
(304) 255-1412
Mailing address
150 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 255-1411
(304) 255-1412
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
WV3202
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138072000
—
WV
Enumeration date
08/23/2006
Last updated
07/21/2022
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