Individual
DR. TERRANCE A RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2315 BECHELLI LN, SUITE A, REDDING, CA 96002-0119
(530) 223-6000
(530) 605-3206
Mailing address
2315 BECHELLI LN, SUITE A, REDDING, CA 96002-0119
(530) 223-6000
(530) 605-3206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D19525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19525
DENTAL LICENSE
CA
01
—
B19525-01
DENTI-CAL
CA
Enumeration date
12/20/2006
Last updated
11/04/2020
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