Individual
DR. RUFUS C. CREEKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6133 SHADY SIDE RD., SHADY SIDE, MD 20764
(410) 867-0247
(410) 867-0248
Mailing address
6133 SHADY SIDE RD., P.O. BOX 428, SHADY SIDE, MD 20764
(410) 867-0247
(410) 867-0248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9417
MD
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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