Individual
ELIZABETH S RUDROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13541 MADISON AVE, KANSAS CITY, MO 64145-1669
(816) 942-0033
Mailing address
13541 MADISON AVE, KANSAS CITY, MO 64145-1669
(816) 942-0033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7103
OK
1223P0221X
Pediatric Dentistry
10553
KY
1223P0221X
Pediatric Dentistry
Primary
2022005260
MO
Other
Enumeration date
07/02/2018
Last updated
08/22/2022
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