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Individual

RYAN KENT RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

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
(970) 223-4028

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202281
CO

Other

Enumeration date
07/16/2010
Last updated
06/06/2023
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