Individual
DR. DANIEL BRUCE RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D
Contact information
Practice address
4320 RIDGECREST DR SE STE E, RIO RANCHO, NM 87124-5971
(505) 891-1151
Mailing address
4320 RIDGECREST DR SE STE E, RIO RANCHO, NM 87124-5971
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3786
NM
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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