| Hudson Family Dentistry | |
|
1622 Grove St Marysville WA 98270-4302 | |
| (360) 659-5611 | |
| (360) 653-9577 |
| Full Name | Hudson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1622 Grove St, Marysville, Washington |
| Authorized Official Name and Position | Tara L Hudson (PRESIDENT) |
| Authorized Official Contact | 3606595611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Family Dentistry 1622 Grove St Marysville WA 98270-4302 Ph: (360) 659-5611 | Hudson Family Dentistry 1622 Grove St Marysville WA 98270-4302 Ph: (360) 659-5611 |
| NPI Number | 1750477857 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750477857 | NPI | - | NPPES |
| 5041264 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8544 (Washington) | Primary |
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