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Individual
DR. YERGENY G RUDASHEVSKY
Active
Individual
DR. YERGENY G RUDASHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B40720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B40720
DENTAL BOARD
CA
05
—
B40720
—
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
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