Rudolph, Lesley Jill

Rudolph, Lesley Jill is an sole proprietor health care provider with primary practice located at 3224 Henderson Blvd , Tampa FL 33609-3024. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Rudolph, Lesley Jill can be contacted via phone (813) 874-0111.

Contact Information

Primary practice address
3224 Henderson Blvd Tampa FL 33609-3024
Phone: (813) 874-0111
Fax: (813) 876-4591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN17563 Florida

Profile Details

NPI number 1649206434
LBN Legal business name Rudolph, Lesley Jill
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Jan 25th, 2011 - about 13 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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