DR. Keith L. Rudolph, D.D.S.

NPI #1124293196 in Fairfield, Connecticut

Provider Information

NPI Number: 1124293196
Entity Type: Individual
Name: DR. Keith L. Rudolph, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 140 SHERMAN ST
City: Fairfield
State: Connecticut
ZIP Code: 06824-5849
Phone: (203) 254-9533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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