| Terrance A. Rust, D.d.s., Inc. | |
|
2315 Bechelli Ln Suite A Redding CA 96002-0119 | |
| (530) 223-1811 | |
| (530) 223-1813 |
| Full Name | Terrance A. Rust, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2315 Bechelli Ln, Redding, California |
| Authorized Official Name and Position | Donna J Gervase (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5302231811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrance A. Rust, D.d.s., Inc. 2315 Bechelli Ln Suite A Redding CA 96002-0119 Ph: (530) 223-1811 | Terrance A. Rust, D.d.s., Inc. 2315 Bechelli Ln Suite A Redding CA 96002-0119 Ph: (530) 223-1811 |
| NPI Number | 1619169521 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619169521 | NPI | - | NPPES |
| B195250-01 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19525 (California) | Primary |
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