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1124293196
KEITH L. RUDOLPH
FAIRFIELD, CT
NPI
1124293196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CT 006950)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
Dr. KEITH L. RUDOLPH D.D.S.
140 SHERMAN ST
FAIRFIELD, CT 06824-5849
Phone number: 203-254-9533
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Mailing Address
Dr. KEITH L. RUDOLPH D.D.S.
140 SHERMAN ST
FAIRFIELD, CT 06824-5849
Phone number: 203-254-9533
Copy
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