Individual
DR. ROBERT HAY RUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
840 OCEAN DR SW, BANDON, OR 97411-9505
(541) 347-2478
Mailing address
840 OCEAN DR SW, BANDON, OR 97411-9505
(541) 347-2478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5991
OR
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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