Individual
DR. GERALD G UDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 735-0800
(617) 735-0801
Mailing address
1244 BOYLSTON ST, SUITE 205, CHESTNUT HILL, MA 02467-2116
(617) 735-0800
(617) 735-0801
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X03947
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
02/15/2007
Last updated
07/08/2007
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