Individual
DR. ROBERT WILLIAM RUDNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST # 980566, RICHMOND, VA 23298-5064
(318) 265-0470
Mailing address
520 N 12TH ST # 980566, RICHMOND, VA 23298-5064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0401417937
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/21/2021
Last updated
06/30/2022
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