DR. Jeremy I Rudd, D.M.D.

NPI #1073602645 in Mansfield, Texas

Provider Information

NPI Number
1073602645
Entity Type
Individual
Name
DR. Jeremy I Rudd, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Oct 12, 2006
Last Updated
May 26, 2009

Practice Location

Address
1750 E BROAD ST
State
Texas
ZIP Code
76063-3400
Phone
(817) 473-6857

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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