Individual
DR. RANOLPH DUANE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3536 MENDOCINO AVE, SUITE #330, SANTA ROSA, CA 95403-3634
(707) 545-4104
(707) 545-9668
Mailing address
3536 MENDOCINO AVENUE #330, SANTA ROSA, CA 95403-3634
(707) 545-4104
(707) 545-9668
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
23239
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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