DR. Michael Lawrence Rudolph, D.D.S.

NPI #1730305905 in Warsaw, Indiana

Provider Information

NPI Number
1730305905
Entity Type
Individual
Name
DR. Michael Lawrence Rudolph, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Apr 17, 2007
Last Updated
Dec 2, 2008

Practice Location

Address
2104 E CENTER ST
City
Warsaw
State
Indiana
ZIP Code
46580-3704
Phone
(574) 269-1787

Specialties & Taxonomy Codes

Specialty
Dentist

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