Provider Demographics
NPI:1215950654
Name:BUDZIK, PAUL D (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:BUDZIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 N 1ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0528
Mailing Address - Country:US
Mailing Address - Phone:559-226-2615
Mailing Address - Fax:
Practice Address - Street 1:4828 N 1ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0528
Practice Address - Country:US
Practice Address - Phone:559-226-2615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice