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ANDREW BUDI D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1134523681
Individual Registrant: ANDREW BUDI D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
105 KELLY WAY HORTONVILLE, WI 54944-8755 US
Tel: 920-779-4982 Fax: --
Tel: 920-779-4982 Fax: --
Contact information for business:
105 KELLY WAY HORTONVILLE, WI 54944-8755 US
Tel: 920-779-4982 Fax: --
Tel: 920-779-4982 Fax: --
Registration Information:
NPI: 1134523681
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | WI | 1000971-15 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
