Organization
FULTON RANCH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUSH D.D.S. (OWNER)
(480) 895-7070
Entity
Organization
Contact information
Practice address
4909 S ALMA SCHOOL RD, CHANDLER, AZ 85248-5628
(480) 895-7070
Mailing address
4909 S ALMA SCHOOL RD, CHANDLER, AZ 85248-5628
(480) 895-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3885
AZ
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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