Individual
DR. ISOLDE GINA ROJAS-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD
Contact information
Practice address
325 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 829-2836
(716) 833-3517
Mailing address
250 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 829-3845
(716) 829-6840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
000081-01
NY
122300000X
Dentist
Primary
000081-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081-1
LICENSE FOR DENTIST AS DENTAL FACULTY
NY
01
—
774
PROVIDER NUMBER AT THE UNIVERSITY AT BUFFALO SCHOOL OF DENTAL MEDICINE
NY
Enumeration date
04/25/2018
Last updated
12/04/2019
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