Individual
BENJAMIN DANELSKI RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
222 LILLY RD NE, OLYMPIA, WA 98506-5031
(360) 459-5885
Mailing address
2370 N 59TH ST, MILWAUKEE, WI 53210-2214
(208) 818-0308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011177
WA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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