Individual
DR. SAMANTHA INGRID RUSTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2210
(910) 451-2208
Mailing address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14084886-9926
UT
Other
Enumeration date
09/13/2023
Last updated
08/29/2024
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