Thomas O Rudersdorf LLC

NPI #1972971125 in Bellevue, Nebraska

Provider Information

NPI Number: 1972971125
Entity Type: Organization
Organization Name: Thomas O Rudersdorf LLC
Primary Specialty: Dentist
Enumeration Date: Sep 4, 2015
Last Updated: Sep 4, 2015

Practice Location

Address: 11513 S 37TH ST
Address 2: SUITE 3
City: Bellevue
State: Nebraska
ZIP Code: 68123-5210
Phone: (402) 292-1200

Authorized Official

Name: DR. THOMAS O RUDERSDORF
Title: OWNER
Phone: (402) 292-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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