Khudsonandcbarberdmdpc
Khudsonandcbarberdmdpc provides General Practice Dentistry in Fayetteville, Georgia. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
100 Howard LnFayetteville, GA 30215-1849 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 461-9935
Fax: (770) 461-3871
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1760532899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Hudson — Dentist · (770) 461-9935 |
| NPI enumerated | January 11, 2007 |
| Last updated in NPPES | August 12, 2008 |
| Mailing address | 100 Howard Ln, Fayetteville, GA 30215-1849 |
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