| NPI | 1578783601 |
|---|---|
| Doing Business As | RUSTYS DENTURE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALBERT ANSELMO CACCIVIO President Denturist 541-461-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122400000X Denturist (Licence: OR DTDO461580) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |