Individual
DR. DAVID T RUDZIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(773) 549-0417
Mailing address
2020 W HARRISON ST, CHICAGO, IL 60612-3741
(773) 549-0417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019021382
IL
1223G0001X
General Practice Dentistry
Primary
1002491
WI
Other
Enumeration date
06/10/2008
Last updated
09/13/2022
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