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:
Health care specialties
Specialty | Code | License # | 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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