| NPI | 1902067077 |
|---|---|
| Former Name | CARMEL ZAWIDEH DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D9708) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA 22066) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2018-05-15 |