TRAVIS RUST

WHEAT RIDGE, CO
NPI1114172699
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CO  9711)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D008291)
Enumeration Date2008-11-25
Last Update Date2013-10-09
Business Address
Dr. TRAVIS RUST DDS
3815 WADSWORTH BLVD
WHEAT RIDGE, CO 80033-4612
Phone number: 720-536-0400
Mailing Address
Dr. TRAVIS RUST DDS
19808 N 69TH AVE
GLENDALE, AZ 85308-5546
Phone number: 602-471-5450