EDWARD RUDOLPH
Dentist - General Practice
Active
Individual
NPI: 1457649824
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 056060-1 (NY) |
Frequently Asked Questions
NPI 1457649824 is the National Provider Identifier for EDWARD RUDOLPH, a Dentist - General Practice provider located in New Square, NY. This NPI was enumerated on July 19, 2011.
EDWARD RUDOLPH practices at 728 N MAIN ST, New Square, NY 10977.
Quick Facts
- NPI
- 1457649824
- Type
- Individual
- Enumerated
- Jul 19, 2011
- Last Updated
- Jul 17, 2012
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