Clear Creek Family Dental

NPI #1962725184 in Ash Grove, Missouri

Provider Information

NPI Number
1962725184
Entity Type
Organization
Organization Name
Clear Creek Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 2, 2010
Last Updated
Mar 2, 2010

Practice Location

Address
609 E WELLS ST STE F
ZIP Code
65604-9087
Phone
(417) 751-9112

Authorized Official

Name
DR. JOSHUA TANNER RUST, DDS
Title
PRESIDENT/OWNER
Phone
(417) 751-9112

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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