Individual
DR. RUSTON R MUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 MAIN ST, NYSSA, OR 97913-3846
(541) 372-3950
(541) 372-5520
Mailing address
300 MAIN ST, NYSSA, OR 97913-3846
(541) 372-3950
(541) 372-5520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9099
OR
Other
Enumeration date
06/09/2008
Last updated
04/22/2024
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