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Organization

RUSH DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES D RUSH DMD (OWNER)
(256) 354-2118
Entity
Organization

Contact information

Practice address
46 TYSON RD, ASHLAND, AL 36251
(256) 354-2118
Mailing address
PO BOX 248, 46 TYSON RD, ASHLAND, AL 36251
(256) 354-2118

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3891
AL

Other

Enumeration date
10/31/2016
Last updated
10/31/2016
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