Charles Edward Kudwa DDS

NPI 1821163106 - Dentist - 122300000X

NPI Details
NPI 1821163106
Gender Male
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
510 WEST LAKE ST
TAWAS CITY MI, 48763, US
Phone (989) 362-8673
Fax (989) 362-2771
Business Location
510 WEST LAKE ST
PO BOX 240
TAWAS CITY MI, 48764-0240, US
Phone (989) 362-8673
Fax (989) 362-2771
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901012520
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According to our database, Dr. Charles Edward Kudwa DDS NPI is 1821163106, taxonomy code is 122300000X and license number is 2901012520, license state is located at Michigan. Charles Edward Kudwa DDS physically located at 510 West Lake St, Tawas City MI, 48763. NPI Number Charles Edward Kudwa DDS has the Individual type.

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1821163106 NPI number is provided on an as is basis without warranty of any kind. 1821163106 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Edward Kudwa DDS are for informational purposes only.