Cristina L Rust Dmd Llc

NPI 1154672897 - Dentist - 122300000X

NPI Details
NPI 1154672897
Enumeration Date 09/20/2012
Last Updated 09/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CRISTINA L CRISTINA
Position OWNER
Phone (503) 646-1811
Fax (503) 924-1698
Practice Location
11786 SW BARNES RD
SUITE 360
PORTLAND OR, 97225-5925, US
Phone (503) 646-1811
Fax (503) 924-1698
Business Location
11786 SW BARNES RD
SUITE 360
PORTLAND OR, 97225-5925, US
Phone (503) 646-1811
Fax (503) 924-1698
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D-9483
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According to our database, Cristina L Rust Dmd Llc NPI is 1154672897, taxonomy code is 122300000X and license number is D-9483, license state is located at Oregon. Cristina L Rust Dmd Llc physically located at 11786 Sw Barnes Rd, Portland OR, 97225-5925. NPI Number 1033115704 has the healthcare provider type.

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1154672897 NPI number is provided on an as is basis without warranty of any kind. 1154672897 is maintained by the National Plan & Provider Enumeration System. The contents of Cristina L Rust Dmd Llc are for informational purposes only.