Individual
MELINDA ANN RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
111 LOUDOUN RD, FARRAGUT, TN 37934-2942
(865) 966-7441
(865) 966-4011
Mailing address
111 LOUDOUN RD, FARRAGUT, TN 37934-2942
(865) 966-7441
(865) 966-4011
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000005293
TN
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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