Individual
DR. RUSTY CROFTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
511 SW 10TH AVE STE 704, PORTLAND, OR 97205-2708
(503) 227-2883
Mailing address
511 SW 10TH AVE STE 704, PORTLAND, OR 97205-2708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11625
OR
Other
Enumeration date
07/01/2021
Last updated
10/03/2023
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