Individual
DEBRA RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
343 WARRIOR ROAD, BUILDING 2115, FORT STEWART, GA 31314
(912) 767-7841
Mailing address
343 WARRIOR ROAD, BUILDING 2115, FORT STEWART, GA 31314
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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