Individual
LAWRENCE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1165 MCKINNEY LN, SUITE #1006, PITTSBURGH, PA 15220-3417
(412) 937-9070
Mailing address
1165 MCKINNEY LN, SUITE #1006, PITTSBURGH, PA 15220-3417
(412) 937-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021586L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520709
UNITED CONCORDIA ID #
PA
Enumeration date
05/09/2007
Last updated
09/27/2010
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