Individual
JACE RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 E POINTE DR STE 300, COLUMBIA, MO 65201-6987
(573) 443-1525
Mailing address
6710 PORT ORCHARD DR, COLUMBIA, MO 65203-8411
(240) 437-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018033398
MO
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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