Individual
DR. HANNAH REBECCA WILLIS RUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401415328
VA
1223P0221X
Pediatric Dentistry
Primary
9148
SC
Other
Enumeration date
08/16/2016
Last updated
11/03/2021
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