| Marta Rudat DDS | |
|
1076 E 1st St Ste D Tustin CA 92780-3852 | |
| (714) 665-4200 | |
| Not Available |
| Full Name | Marta Rudat DDS |
|---|---|
| Speciality | Dentist |
| Location | 1076 E 1st St Ste D, Tustin, California |
| Authorized Official Name and Position | Nicole Rudat (OFFICE MANAGER) |
| Authorized Official Contact | 7146064725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta Rudat DDS 1076 E 1st St Ste D Tustin CA 92780-3852 Ph: (714) 665-4200 | Marta Rudat DDS 1076 E 1st St Ste D Tustin CA 92780-3852 Ph: (714) 665-4200 |
| NPI Number | 1841933389 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841933389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
| 1223G0001X | Dentist - General Practice | (NU) | Secondary |
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