Individual
RAYMOND RUST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-4115
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
(509) 454-4115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62794
CA
122300000X
Dentist
Primary
DE60409006
WA
Other
Enumeration date
10/30/2013
Last updated
11/18/2024
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