Kudish, Fredric Michael

Kudish, Fredric Michael is an individual health care provider with primary practice located at 415 Broad St , Meriden CT 06450. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kudish, Fredric Michael can be contacted via phone (203) 634-1515.

Contact Information

Primary practice address
415 Broad St Meriden CT 06450
Phone: (203) 634-1515
Fax: (203) 634-7519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 4418 Connecticut

Profile Details

NPI number 1699855676
LBN Legal business name Kudish, Fredric Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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