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Individual
DR. JAY CARSON RUTZ
Active
Individual
DR. JAY CARSON RUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5864
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670-36552
BCBS AL
AL
Enumeration date
08/20/2007
Last updated
06/18/2008
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