| G. Glenn Rusk D.d.s., Inc. | |
|
3410 Mccall Ave Suite 104 Selma CA 93662-2500 | |
| (559) 896-2445 | |
| (559) 896-3259 |
| Full Name | G. Glenn Rusk D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3410 Mccall Ave, Selma, California |
| Authorized Official Name and Position | Galen Glenn Rusk (PRESIDENT) |
| Authorized Official Contact | 5598962445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Glenn Rusk D.d.s., Inc. 3410 Mccall Ave Suite 104 Selma CA 93662-2500 Ph: (559) 896-2445 | G. Glenn Rusk D.d.s., Inc. 3410 Mccall Ave Suite 104 Selma CA 93662-2500 Ph: (559) 896-2445 |
| NPI Number | 1184762569 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184762569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19462 (California) | Primary |
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