Organization
CARL RUDERMAN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY RUDERMAN (OFFICE MANAGER)
(301) 864-6535
Entity
Organization
Contact information
Practice address
6309 BALTIMORE AVE STE 202, RIVERDALE, MD 20737-1059
(301) 864-6535
(301) 864-8093
Mailing address
6309 BALTIMORE AVE STE 202, RIVERDALE, MD 20737-1059
(301) 864-6535
(301) 864-8093
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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