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Organization

ALPHA DENTAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTINA RUDMAN (OWNER)
(727) 323-4003
Entity
Organization

Contact information

Practice address
243 32ND ST N, ST PETERSBURG, FL 33713-8537
(727) 323-4003
(727) 323-4063
Mailing address
243 32ND ST N, ST PETERSBURG, FL 33713-8537
(727) 323-4003
(727) 323-4063

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075685700
FL
Enumeration date
06/05/2008
Last updated
12/30/2010
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