Organization
AUSTIN R. RUST DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN ROZIER RUST (OWNER/PRESIDENT)
(573) 674-4674
Entity
Organization
Contact information
Practice address
211 S MAIN ST, LICKING, MO 65542-9325
(573) 674-4674
(573) 674-4674
Mailing address
PO BOX 239, LICKING, MO 65542-0239
(573) 674-4674
(573) 674-4674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
06/23/2008
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