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Individual

DR. FRED E RUDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5399 HIGHWAY 30-A, SEAGROVE, FL 32459
(850) 231-3736
Mailing address
5399 HIGHWAY 30-A, SEAGROVE, FL 32459
(850) 231-3736

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10145
FL

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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