Rudolph, Sara Beth
Rudolph, Sara Beth is an sole proprietor health care provider with primary practice located at 21321 E Ocotillo Rd Building E Suite 112, Queen Creek AZ 85142-5996. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Rudolph, Sara Beth can be contacted via phone (480) 882-9710.Contact Information
Primary practice address
21321 E Ocotillo Rd Building E Suite 112
Queen Creek AZ 85142-5996
Phone: (480) 882-9710
Fax: (480) 882-9706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019026167 | Illinois |
| Dental Providers / Dentist | 122300000X | D009520 | Arizona |
Profile Details
| NPI number | 1457403917 |
|---|---|
| LBN Legal business name | Rudolph, Sara Beth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 7th, 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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