Individual
DR. THOMAS EDWARD RUDERSDORF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11513 S 37TH ST, BELLEVUE, NE 68123-5210
(402) 292-1200
(402) 292-5657
Mailing address
734 NORTH 57TH STREET, OMAHA, NE 68132
(402) 556-9183
(402) 566-6754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4623
NE
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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