Individual
DR. DWIGHT ANTONIO RUDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
719 HEMPHILL ST, FORT WORTH, TX 76104-3106
(817) 335-3806
(817) 338-1681
Mailing address
719 HEMPHILL ST, FORT WORTH, TX 76104-3106
(817) 335-3806
(817) 338-1681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14888
TX
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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