Individual
JACLYN DANOFF RUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4933 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1433
(718) 229-4933
Mailing address
4933 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1433
(718) 229-4933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057360
NY
Other
Enumeration date
02/21/2013
Last updated
07/31/2014
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