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1275546780
DWIGHT ANTONIO RUDDOCK
FORT WORTH, TX
NPI
1275546780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14888)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. DWIGHT ANTONIO RUDDOCK D.D.S
719 HEMPHILL ST
FORT WORTH, TX 76104-3106
Phone number: 817-335-3806
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Mailing Address
Dr. DWIGHT ANTONIO RUDDOCK D.D.S
719 HEMPHILL ST
FORT WORTH, TX 76104-3106
Phone number: 817-335-3806
Copy
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