Individual
DR. JEFFREY ANTHONY RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
916 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3424
(320) 251-1912
Mailing address
916 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3424
(320) 251-1912
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9479
MN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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