Individual
DR. GRANT RUSSELL RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 763-7242
Mailing address
1221 MOANA DR, SAN DIEGO, CA 92107-3910
(303) 513-1361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10238
CO
1223E0200X
Endodontics
Primary
108827
CA
Other
Enumeration date
08/24/2010
Last updated
01/31/2025
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