Joseph Rustom, DDS

NPI #1205241510 in Winnfield, Louisiana

Provider Information

NPI Number: 1205241510
Entity Type: Individual
Name: Joseph Rustom, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 25, 2014
Last Updated: Apr 24, 2023

Practice Location

Address: 425 W LAFAYETTE ST
City: Winnfield
State: Louisiana
ZIP Code: 71483-3463
Phone: (318) 302-3261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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