DR. Deric Robert Budendorf, DDS

NPI #1952723686 in Canton, Ohio

Provider Information

NPI Number: 1952723686
Entity Type: Individual
Name: DR. Deric Robert Budendorf, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 15, 2014
Last Updated: Apr 21, 2014

Practice Location

Address: 1320 MERCY DR NW
City: Canton
State: Ohio
ZIP Code: 44708-2614
Phone: (330) 471-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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