person
Charles H Udolph, DDS
Pediatric Dentist in West Hills, California
NPI 1740273820

Charles H Udolph is a Pediatric Dentist based in West Hills, CA and is specialized in Pediatric Dentistry. Charles H Udolph practices in West Hills, CA and has the professional credentials of DDS. The NPI Number for Charles H Udolph is 1740273820 and holds a License No. 21659 (California).

The current practice location address for Charles H Udolph is 7345 Medical Center Dr, West Hills, CA and can be reached out via phone at 818-346-6282 and via fax at 818-346-5174.

Location: 7345 Medical Center Dr, West Hills, CA, 91307-1910
person
Provider Profile Details
NPI Number
1740273820
Provider Name
Charles H Udolph
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7345 Medical Center Dr, West Hills, CA, 91307-1910
Phone Number
818-346-6282
Fax Number
818-346-5174
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B21659 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
7345 Medical Center Dr
City
State
Zip
91307-1910
Phone Number
818-346-6282
Fax Number
818-346-5174
person
Provider Business Mailing Address Details
Address
7345 Medical Center Dr
City
State
Zip
91307-1910
Phone Number
818-346-6282
Fax Number
818-346-5174
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
21659 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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