Organization
THOMAS O RUDERSDORF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS O RUDERSDORF (OWNER)
(402) 292-1200
Entity
Organization
Contact information
Practice address
11513 S 37TH ST, SUITE 3, BELLEVUE, NE 68123-5210
(402) 292-1200
Mailing address
11513 S 37TH ST, SUITE 3, BELLEVUE, NE 68123-5210
(402) 292-1200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6609
NE
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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