Gary Rudacille, D.D.S

NPI 1710196365 · on the registry since 2007 · sole proprietor

Practice

Address: 9051 Baltimore National Pike
Suite 4d
Ellicott City, MD 21042
Phone: (410) 465-5917
Organisation at this address: Barenburg Optical Service, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland