Organization
RYAN RUSH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN RUSH D.D.S. (OWNER/DDS)
(970) 223-5393
Entity
Organization
Contact information
Practice address
383 W DRAKE RD STE 101, FORT COLLINS, CO 80526-2884
(970) 223-5393
Mailing address
383 W DRAKE RD STE 101, FORT COLLINS, CO 80526-2884
(970) 223-5393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202281
CO
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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