Brad Hudson, Dds, Ms, Pllc | |
6116 Rolling Rd Suite 201 Springfield VA 22152-1521 | |
(703) 451-4666 | |
Not Available |
Full Name | Brad Hudson, Dds, Ms, Pllc |
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Speciality | Clinic/center - Dental |
Location | 6116 Rolling Rd, Springfield, Virginia |
Authorized Official Name and Position | James Bradley Hudson (OWNER) |
Authorized Official Contact | 7034514666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brad Hudson, Dds, Ms, Pllc 6116 Rolling Rd Suite 201 Springfield VA 22152-1521 Ph: (703) 451-4666 | Brad Hudson, Dds, Ms, Pllc 6116 Rolling Rd Suite 201 Springfield VA 22152-1521 Ph: (703) 451-4666 |
NPI Number | 1376942581 |
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Provider Enumeration Date | 08/14/2014 |
Last Update Date | 08/14/2014 |
Identifier | Type | State | Issuer |
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1376942581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 0401413645 (Virginia) | Primary |
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