GLENN RUDOLPH

LOUISVILLE, KY
NPI1033482260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KY  9731)
Additional Taxonomies122300000X Dentist
(Licence: AL  6014)
Enumeration Date2012-02-19
Last Update Date2016-07-06
Business Address
-- GLENN RUDOLPH D.M.D.
3707 CHAMBERLAIN LN SUITE 103
LOUISVILLE, KY 40241-2001
Phone number: 502-412-2222
Mailing Address
-- GLENN RUDOLPH D.M.D.
1802 STRAND AVE
LOUISVILLE, KY 40205-1432
Phone number: 256-762-8908
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