Individual provider · Type 1 NPI

Val L. Kudryk, DMD

Periodontics · Prescott, AZ

NPI number 1649312158 Active

Practice location

3103 Clearwater Dr, Suite A
Prescott, AZ 86305-7165

Fax (928) 443-0931

Mailing address

190 Misty Meadow Cir
Prescott, AZ 86303-5819

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD6792 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1649312158

Val L. Kudryk, DMD's National Provider Identifier is 1649312158, issued on Feb 12, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.