EDWARD RUDOLPH

NEW SQUARE, NY
NPI1457649824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  056060-1)
Enumeration Date2011-07-19
Last Update Date2012-07-17
Business Address
-- EDWARD RUDOLPH
728 N MAIN ST
NEW SQUARE, NY 10977-8916
Phone number: 845-354-9300
Mailing Address
-- EDWARD RUDOLPH
490 W 187TH ST APT 4H
NEW YORK, NY 10033-1513
Phone number: 551-486-2899
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