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Organization
MARJAN RUSTA DDS INC
Active
Organization
MARJAN RUSTA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN RUSTA DDS (OWNER)
(510) 526-7546
Entity
Organization
Contact information
Practice address
1313 GILMAN ST STE A, BERKELEY, CA 94706-2431
(510) 526-7546
Mailing address
1313 GILMAN ST STE A, BERKELEY, CA 94706-2431
(510) 526-7546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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