Rustin Oscar Reidhead, D.D.S.

NPI #1235410119 in Marrero, Louisiana

Provider Information

NPI Number: 1235410119
Entity Type: Individual
Name: Rustin Oscar Reidhead, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 6, 2011
Last Updated: Oct 17, 2016

Practice Location

Address: 4940 LAPALCO BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072-4321
Phone: (480) 229-7595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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