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CHRISTINE J GUDAS DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1245416569

Individual Registrant:
 CHRISTINE J GUDAS DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
13361 LINCOLN PLAZA WAY  CEDAR LAKE, IN 46303-9639 US
Tel: 219-374-2400  Fax: 219-374-2750

Contact information for business:
13361 LINCOLN PLAZA WAY  CEDAR LAKE, IN 46303-9639 US
Tel: 219-374-2400  Fax: 219-374-2750

Registration Information:
NPI: 1245416569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IN12011020A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200867070IN05




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