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DR. CHARLES DANIEL RUSH DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1952405946

Individual Registrant:
DR. CHARLES DANIEL RUSH DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
#46 TYSON RD  ASHLAND, AL 36251 US
Tel: 256-354-2118  Fax: 256-354-2130

Contact information for business:
PO BOX 248 #46 TYSON RD ASHLAND, AL 36251 US
Tel: 256-354-2118  Fax: 256-354-2130

Registration Information:
NPI: 1952405946
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AL3891

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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