J. Glenn Rutherford DDS PC
NPI #1063610269 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1063610269
- Entity Type
- Organization
- Organization Name
- J. Glenn Rutherford DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 51 DAVID DR
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147-9440
- Phone
- (970) 731-3627
Authorized Official
- Name
- DR. JACK GLENN RUTHERFORD, DDS
- Title
- PRESIDENT
- Phone
- (970) 731-3627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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