| Thomas O Rudersdorf Llc | |
|
11513 S 37th St Suite 3 Bellevue NE 68123-5210 | |
| (402) 292-1200 | |
| Not Available |
| Full Name | Thomas O Rudersdorf Llc |
|---|---|
| Speciality | Dentist |
| Location | 11513 S 37th St, Bellevue, Nebraska |
| Authorized Official Name and Position | Thomas O Rudersdorf (OWNER) |
| Authorized Official Contact | 4022921200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas O Rudersdorf Llc 11513 S 37th St Suite 3 Bellevue NE 68123-5210 Ph: (402) 292-1200 | Thomas O Rudersdorf Llc 11513 S 37th St Suite 3 Bellevue NE 68123-5210 Ph: (402) 292-1200 |
| NPI Number | 1972971125 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972971125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6609 (Nebraska) | Primary |
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