Organization
RUSHA GEORGE AWAD, LLC
Active
Other names
West Nassau Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSHA AWAD DMD (PRESIDENT)
(904) 207-4766
Entity
Organization
Contact information
Practice address
450100 STATE ROAD 200, CALLAHAN, FL 32011-5064
(904) 879-6998
Mailing address
4570 BRANDY OAK CT, JACKSONVILLE, FL 32257-8818
(904) 204-4766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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