Individual
DR. JACK A RUSCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
340 PARKVIEW DR, NEW CASTLE, IN 47362-2945
(765) 529-7616
Mailing address
340 PARKVIEW DR, NEW CASTLE, IN 47362-2945
(317) 727-7653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010274
IN
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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