Individual
JESSICA RUDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(401) 536-4575
Mailing address
65 GREEN LN, JAMESTOWN, RI 02835-1249
(401) 536-4575
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37231
TX
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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