Individual
DR. ALYSE RUDNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
215 OLD TAPPAN RD, 2ND FLOOR, OLD TAPPAN, NJ 07675-7000
(201) 666-8844
(201) 666-8811
Mailing address
215 OLD TAPPAN RD, 2ND FLOOR, OLD TAPPAN, NJ 07675-7000
(201) 666-8844
(201) 666-8811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02273200
NJ
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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