Individual
DR. ROGER E. RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 E ROWAN AVE, SUITE 4, SPOKANE, WA 99207-1232
(509) 483-2264
Mailing address
12 E ROWAN AVE, SUITE 4, SPOKANE, WA 99207-1232
(509) 483-2264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5004824
—
WA
Enumeration date
01/30/2007
Last updated
07/09/2007
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