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Individual

DR. SARA BETH RUDOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
21321 E OCOTILLO RD, BUILDING E SUITE 112, QUEEN CREEK, AZ 85142-5996
(480) 882-9710
(480) 882-9706
Mailing address
3539 S STERLING CT, GILBERT, AZ 85297-4942
(773) 430-7272

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019026167
IL
122300000X
Dentist
Primary
D009520
AZ

Other

Enumeration date
01/17/2007
Last updated
07/07/2016
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