Individual
DR. RONALD JOHN RUDLAFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3001A 6TH ST, NAVAL HOSPITAL GREAT LAKES, GREAT LAKES, IL 60088-5211
(847) 688-2100
Mailing address
66480 MULBERRY RD, LAKEVILLE, IN 46536-9755
(574) 784-2259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009425A
IN
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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