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Contact Information

DUDUM DENTAL INC
1436 PROFESSIONAL DR STE 304
PETALUMA, CA94954-6697
 Phone: 707-763-2170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DUDUM DENTAL INC

NPI # 1154275741
LBN Legal business name DUDUM DENTAL INC
Authorized official MICHAELA MUNIZ - (VP, PAYOR RELATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/23/2026
Last updated 02/23/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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