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Vivian J. Hudson, DDS
General Practice Dentistry in Wauwatosa, Wisconsin
NPI 1730288200

Vivian J. Hudson is a General Practice Dentistry based in Wauwatosa, WI and is specialized in General Practice. Vivian J. Hudson practices in Wauwatosa, WI and has the professional credentials of DDS. The NPI Number for Vivian J. Hudson is 1730288200 and holds a License No. 5951 (Wisconsin).

The current practice location address for Vivian J. Hudson is 11711 W. Burleigh Street, Wauwatosa, WI and can be reached out via phone at 414-778-5289 and via fax at 414-456-9911.

Location: 11711 W. Burleigh Street, Wauwatosa, WI, 53222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730288200
Provider Name
Vivian J. Hudson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
11711 W. Burleigh Street, Wauwatosa, WI, 53222
Phone Number
414-778-5289
Fax Number
414-456-9911
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33803100 05 WI
institution
Provider Business Practice Location Address Details
Address
11711 W. Burleigh Street
City
Wauwatosa
State
Wisconsin
Zip
53222
Phone Number
414-778-5289
Fax Number
414-456-9911
person
Provider Business Mailing Address Details
Address
11711 W. Burleigh Street
City
Wauwatosa
State
Wisconsin
Zip
53222
Phone Number
414-778-5289
Fax Number
414-456-9911
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5951 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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