Provider Demographics
NPI:1932366473
Name:ALOUFAN, RUDAINAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUDAINAH
Middle Name:
Last Name:ALOUFAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 STEWARTSTOWN RD APT L1
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2972
Mailing Address - Country:US
Mailing Address - Phone:304-680-3124
Mailing Address - Fax:
Practice Address - Street 1:1335 STEWARTSTOWN RD APT L1
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2972
Practice Address - Country:US
Practice Address - Phone:304-680-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR36551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice