Organization
RYAN J. RUPERT D.M.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JOHN RUPERT D.M.D. (OWNER)
(412) 736-0794
Entity
Organization
Contact information
Practice address
66 FOREST GROVE RD, CORAOPOLIS, PA 15108-3451
(412) 859-3833
Mailing address
66 FOREST GROVE RD, CORAOPOLIS, PA 15108-3451
(412) 859-3833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS037526
PA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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