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Individual

DANIELLE RUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
335 BROADWAY, LONG BRANCH, NJ 07740-6901
(732) 413-2030
Mailing address
180 HIGHWAY 35, RED BANK, NJ 07701-5936

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02777100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NJ

Other

Enumeration date
06/07/2019
Last updated
05/21/2020
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