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1114172699
TRAVIS RUST
WHEAT RIDGE, CO
NPI
1114172699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 9711)
Additional Taxonomies
122300000X Dentist
(Licence: AZ D008291)
Enumeration Date
2008-11-25
Last Update Date
2013-10-09
Business Address
Dr. TRAVIS RUST DDS
3815 WADSWORTH BLVD
WHEAT RIDGE, CO 80033-4612
Phone number: 720-536-0400
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Mailing Address
Dr. TRAVIS RUST DDS
19808 N 69TH AVE
GLENDALE, AZ 85308-5546
Phone number: 602-471-5450
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