Individual
LINDA JO RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
550 CITY CTR, OSHKOSH, WI 54901-4830
(920) 731-7445
Mailing address
7097 COUNTRY CLUB RD, OSHKOSH, WI 54902-9155
(920) 379-9185
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5630-16
WI
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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