DR. Lucas John Rudelich, DDS

NPI #1477096667 in Taylorsville, Utah

Provider Information

NPI Number: 1477096667
Entity Type: Individual
Name: DR. Lucas John Rudelich, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: 5255 S 4015 W
Address 2: SUITE #180
City: Taylorsville
State: Utah
ZIP Code: 84129-4257
Phone: (801) 968-9003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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