DR. Donald Kipp Ruddell, DDS

NPI #1417986415 in Oakland, California

Provider Information

NPI Number: 1417986415
Entity Type: Individual
Name: DR. Donald Kipp Ruddell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 298 GRAND AVE
Address 2: SUITE 200
City: Oakland
State: California
ZIP Code: 94610
Phone: (510) 452-1068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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