Individual
SARAH RUSTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2521 AMES BLVD STE C, MARRERO, LA 70072-5154
(504) 340-9696
Mailing address
2521 AMES BLVD STE C, MARRERO, LA 70072-5154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7606
LA
1223G0001X
General Practice Dentistry
39724
TX
Other
Enumeration date
04/19/2022
Last updated
01/08/2025
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