Individual
DR. DANIEL EDWARD RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
36545 HARPER AVE, CLINTON TWP, MI 48035-2012
(586) 791-1490
Mailing address
36545 HARPER AVE, CLINTON TWP, MI 48035-2012
(248) 917-8114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018907
MI
Other
Enumeration date
11/02/2006
Last updated
12/19/2012
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