Cristina L Rust Dmd LLC

NPI #1154672897 in Portland, Oregon

Provider Information

NPI Number: 1154672897
Entity Type: Organization
Organization Name: Cristina L Rust Dmd LLC
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 11786 SW BARNES RD
Address 2: SUITE 360
City: Portland
State: Oregon
ZIP Code: 97225-5925
Phone: (503) 646-1811

Authorized Official

Name: DR. CRISTINA L RUST, DMD
Title: OWNER
Phone: (503) 646-1811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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