| Dr. Page Hudson Dental Corporation | |
|
4074 Fairmount Avenue Suite B San Diego CA 92105 | |
| (619) 998-9543 | |
| (844) 534-8464 |
| Full Name | Dr. Page Hudson Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4074 Fairmount Avenue, San Diego, California |
| Authorized Official Name and Position | Page Hudson (OWNER) |
| Authorized Official Contact | 9168777450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Page Hudson Dental Corporation 1164 National Drive Suite 40 Sacramento CA 95834 Ph: (916) 877-7450 | Dr. Page Hudson Dental Corporation 4074 Fairmount Avenue Suite B San Diego CA 92105 Ph: (619) 998-9543 |
| NPI Number | 1174155949 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174155949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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