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Organization
T. RUTNER DDS DENTAL CORPORATION
Active
Organization
T. RUTNER DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL GARCIA (MANAGER)
(530) 677-3788
Entity
Organization
Contact information
Practice address
3461 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-8967
(530) 544-3426
Mailing address
3461 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-8967
(530) 544-3426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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