| Silas D. Dudley, D.d.s., M.s.d., P.l.l.c. | |
|
10920 Se 208th St Kent WA 98031-4009 | |
| (253) 852-7331 | |
| (253) 813-3826 |
| Full Name | Silas D. Dudley, D.d.s., M.s.d., P.l.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10920 Se 208th St, Kent, Washington |
| Authorized Official Name and Position | Silas D Dudley (OWNER) |
| Authorized Official Contact | 2069925098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silas D. Dudley, D.d.s., M.s.d., P.l.l.c. 10920 Se 208th St Kent WA 98031-4009 Ph: (253) 852-7331 | Silas D. Dudley, D.d.s., M.s.d., P.l.l.c. 10920 Se 208th St Kent WA 98031-4009 Ph: (253) 852-7331 |
| NPI Number | 1376808402 |
|---|---|
| Provider Enumeration Date | 07/04/2012 |
| Last Update Date | 07/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376808402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE60231571 (Washington) | Primary |
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