Individual
DR. RICHARD LEE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
722 MARKET ST, PHILA, PA 19106-2312
(610) 891-0894
Mailing address
191 PRESIDENTIAL BLVD, APT 905, BALA CYNWYD, PA 19004-1207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020245L
PA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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