Organization
RYAN RUDD DDS MS PC
Active
Other names
Shaltry and Rudd Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN RUDD (PRESIDENT)
(360) 457-4991
Entity
Organization
Contact information
Practice address
611 E 8TH ST, PORT ANGELES, WA 98362-6223
(360) 457-4991
Mailing address
611 E 8TH ST, PORT ANGELES, WA 98362-6223
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 60293923
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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