Nick J Rudelich DDS

NPI 1356465355 - Dentist - 1223G0001X

NPI Details
NPI 1356465355
Gender Female
Enumeration Date 03/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5255 S 4015 W
SUITE 180
SALT LAKE CITY UT, 84118-4257, US
Phone (801) 968-9003
Fax (801) 968-9069
Business Location
5255 S 4015 W
SUITE 180
SALT LAKE CITY UT, 84118-4257, US
Phone (801) 968-9003
Fax (801) 968-9069
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 139628
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According to our database, Nick J Rudelich DDS NPI is 1356465355, taxonomy code is 1223G0001X and license number is 139628, license state is located at Utah. Nick J Rudelich DDS physically located at 5255 S 4015 W, Salt Lake City UT, 84118-4257. NPI Number Nick J Rudelich DDS has the Individual type.

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1356465355 NPI number is provided on an as is basis without warranty of any kind. 1356465355 is maintained by the National Plan & Provider Enumeration System. The contents of Nick J Rudelich DDS are for informational purposes only.