Organization
HAGERSTOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK A RUSCH DDS (DENTIST)
(765) 489-5942
Entity
Organization
Contact information
Practice address
49 W WALNUT ST, HAGERSTOWN, IN 47346-1543
(765) 489-5942
(765) 489-3052
Mailing address
49 W WALNUT ST, HAGERSTOWN, IN 47346-1543
(765) 489-5942
(765) 489-3052
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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