Organization
CHATFIELD DENTAL CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYSON RUSHING DDS (DENTIST)
(832) 483-6364
Entity
Organization
Contact information
Practice address
431 MAIN ST N STE B, CHATFIELD, MN 55923-1172
(832) 483-6364
Mailing address
1569 ECHO RIDGE RD SW, ROCHESTER, MN 55902-2873
(713) 839-5404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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