GRANT RUSSELL RUTHERFORD

OCEANSIDE, CA
NPI1780990168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: CA  108827)
Additional Taxonomies122300000X Dentist
(Licence: CO  10238)
Enumeration Date2010-08-24
Last Update Date2024-04-11
Business Address
Dr. GRANT RUSSELL RUTHERFORD DDS, MS
NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
OCEANSIDE, CA 92055
Phone number: 760-763-7242
Mailing Address
Dr. GRANT RUSSELL RUTHERFORD DDS, MS
1221 MOANA DR
SAN DIEGO, CA 92107-3910
Phone number: 303-513-1361