Individual
DR. ISOLDE GINA ROJAS-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD
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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