# GRACE E. RUDERSDORF, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Hill Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013429778
- **Authorized official:** DR. GRACE RUDERSDORF DDS (OWNER/DENTIST)
- **Authorized official phone:** (303) 237-1553

## Contact information

- **Practice address:** 11290 W ALAMEDA AVE STE A-100, LAKEWOOD, CO 80226-2575
- **Practice address phone:** (303) 237-1553
- **Practice address fax:** (303) 232-1683
- **Mailing address:** 11290 W ALAMEDA AVE STE A-100, LAKEWOOD, CO 80226-2575
- **Mailing address phone:** (303) 237-1553
- **Mailing address fax:** (303) 232-1683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 202316 | CO | Yes |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 11/02/2017