Organization · Type 2 NPI
Grace E. Rudersdorf, Dds, PLLC
Dental Clinic/Center · Lakewood, CO
NPI number
1013429778
Active
Practice location
11290 W Alameda Ave Ste A-100
Lakewood, CO 80226-2575
Fax (303) 232-1683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 202316 (CO) |
Dental Clinic/Center: Definition to come...
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About NPI 1013429778
Grace E. Rudersdorf, Dds, PLLC's National Provider Identifier is 1013429778, issued on Nov 2, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lakewood, CO. The record was last updated on Nov 2, 2017.