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1922173905
MACK TIMOTHY RUDD
OKLAHOMA CITY, OK
NPI
1922173905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5906)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- MACK TIMOTHY RUDD D.D.S.
1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-5714
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Mailing Address
-- MACK TIMOTHY RUDD D.D.S.
1201 N STONEWALL AVE ROOM 494
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-5714
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