Individual
DR. TRAVIS C. RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10151 MONTGOMERY BLVD NE, SUITE 2D, ALBUQUERQUE, NM 87111-3670
(505) 292-3400
(505) 292-7124
Mailing address
10151 MONTGOMERY BLVD NE, SUITE 2D, ALBUQUERQUE, NM 87111-3670
(505) 292-3400
(505) 292-7124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD3881
NM
Other
Enumeration date
01/29/2009
Last updated
09/25/2013
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