Individual
DR. BRIAN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
245 NICHOLLS HILL RD, BELLE VERNON, PA 15012-3713
(724) 929-7303
Mailing address
245 NICHOLLS HILL RD, BELLE VERNON, PA 15012-3713
(724) 929-7303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-029977-L
PA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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