Individual
DR. DOUGLAS RONALD RUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 4TH ST, AURORA, IN 47001-1208
(812) 926-1854
Mailing address
402 4TH ST, AURORA, IN 47001-1208
(812) 926-1854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009920
IN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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