| Murray Dock Dds Msd @ Lisa Rudolph Dmd Mph Llp | |
|
4881 Cooper Rd Cincinnati OH 45242-6902 | |
| (513) 891-0660 | |
| (513) 791-4925 |
| Full Name | Murray Dock Dds Msd @ Lisa Rudolph Dmd Mph Llp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4881 Cooper Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Murray Dock (DOCTOR/OWNER) |
| Authorized Official Contact | 5138910660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Murray Dock Dds Msd @ Lisa Rudolph Dmd Mph Llp 4881 Cooper Rd Cincinnati OH 45242-6902 Ph: (513) 891-0660 | Murray Dock Dds Msd @ Lisa Rudolph Dmd Mph Llp 4881 Cooper Rd Cincinnati OH 45242-6902 Ph: (513) 891-0660 |
| NPI Number | 1750974903 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750974903 | NPI | - | NPPES |
| 1093031742 | Other | OH | DENTAL |
| 1548321607 | Other | OH | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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