Individual
DR. WILLIAM I RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 SYCAMORE CT, SUITE 1C, COLUMBUS, IN 47203
(812) 379-9211
Mailing address
3200 SYCAMORE CT, SUITE 1C, COLUMBUS, IN 47203
(812) 379-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6786
IN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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