Organization
RUCH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA RUSSELL (OFFICE MANAGER)
(541) 899-7949
Entity
Organization
Contact information
Practice address
181 UPPER APPLEGATE RD, JACKSONVILLE, OR 97530-9739
(541) 899-7949
Mailing address
181 UPPER APPLEGATE RD, JACKSONVILLE, OR 97530-9739
(541) 899-7949
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D5946
OR
Other
Enumeration date
05/08/2007
Last updated
08/18/2008
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