| Carl Ruderman DDS LLC | |
|
6309 Baltimore Ave Ste 202 Riverdale MD 20737-1059 | |
| (301) 864-6535 | |
| (301) 864-8093 |
| Full Name | Carl Ruderman DDS LLC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6309 Baltimore Ave Ste 202, Riverdale, Maryland |
| Authorized Official Name and Position | Casey Ruderman (OFFICE MANAGER) |
| Authorized Official Contact | 3018646535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Ruderman DDS LLC 6309 Baltimore Ave Ste 202 Riverdale MD 20737-1059 Ph: (301) 864-6535 | Carl Ruderman DDS LLC 6309 Baltimore Ave Ste 202 Riverdale MD 20737-1059 Ph: (301) 864-6535 |
| NPI Number | 1508490707 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508490707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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