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Contact Information

DARYL J DUDUM, DDS
1748 NOVATO BLVD STE 200
NOVATO, CA94947-7855
 Phone: 415-898-7093
 Fax: 415-898-0563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DARYL J DUDUM · (Male)

NPI Number 1881841252
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/27/2008
Last updated 03/27/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 57731
  • MA License # 10267
  • TX License # 25288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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