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Individual

DR. JEFFREY D RUSHLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
800 E 73RD AVE, UNIT 3, DENVER, CO 80229-6855
(303) 650-5800
(303) 650-5801
Mailing address
800 E 73RD AVE, UNIT 3, DENVER, CO 80229-6855
(303) 650-5800
(303) 650-5801

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8584
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CO
Enumeration date
02/11/2009
Last updated
02/11/2009
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