Olivia Rudnicki

NPI #1790219384 in Michigan City, Indiana

Provider Information

NPI Number: 1790219384
Entity Type: Individual
Name: Olivia Rudnicki
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 20, 2017
Last Updated: Jun 28, 2018

Practice Location

Address: 710 FRANKLIN ST STE 200
City: Michigan City
State: Indiana
ZIP Code: 46360
Phone: (219) 872-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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