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Organization

RUSK DENTAL PLLC

Active
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Organization

RUSK DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONA AGARWAL DDS (OWNER/DENTIST)
(423) 943-1203
Entity
Organization

Contact information

Practice address
516 N DICKINSON DR STE B, RUSK, TX 75785-1063
(903) 638-3200
Mailing address
516 N DICKINSON DR STE B, RUSK, TX 75785-1063

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27214
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
02/04/2020
Last updated
02/04/2020
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