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Individual

LARRY JOHN RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2620 TENDERFOOT HILL ST, SUITE 210, COLORADO SPRINGS, CO 80906-8353
(719) 597-7979
(719) 597-8084
Mailing address
2620 TENDERFOOT HILL ST, SUITE 210, COLORADO SPRINGS, CO 80906-8353
(719) 597-7979
(719) 597-8084

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
471
CO

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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