Rudelich, Lucas John
Rudelich, Lucas John is an individual health care provider with primary practice located at 5255 S 4015 W Suite #180, Taylorsville UT 84129-4257. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rudelich, Lucas John can be contacted via phone (801) 968-9003.Contact Information
Primary practice address
5255 S 4015 W Suite #180
Taylorsville UT 84129-4257
Phone: (801) 968-9003
Fax: (801) 968-9069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10165628-9922 | Utah |
Profile Details
| NPI number | 1477096667 |
|---|---|
| LBN Legal business name | Rudelich, Lucas John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2016 |
| Last updated | Nov 21st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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