Individual
LISA MARIE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4641
(513) 636-8283
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.023574
OH
Other
Enumeration date
04/19/2010
Last updated
07/30/2013
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