DR. Bethelen O Pudik, D.D.S.

NPI #1083746226 in Peoria, Illinois

Provider Information

NPI Number: 1083746226
Entity Type: Individual
Name: DR. Bethelen O Pudik, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2116 N SHERIDAN RD
City: Peoria
State: Illinois
ZIP Code: 61604-3457
Phone: (309) 679-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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