Skip Navigation

Provider Information for 1295945723

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. GARY ALAN DUDAR D.D.S.

Gender: MALE

Individual NPI: 1295945723

Calendar   Last Updated:  2008-11-13
  Certification Date: 

Details

Name Value
NPI 1295945723
Enumeration Date 2007-05-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 240 SOUTH HICKORY ST. SUITE 200
ESCONDIDO, CA 92025-4357
United States

Phone: 760-743-8131 | Fax: 760-743-8137
View Map External Link
Primary Practice Address 240 S HICKORY ST SUITE 200
ESCONDIDO, CA 92025-4355
United States

Phone: 760-743-8131 | Fax: 760-743-8137
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA DS034836