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NPI Code Detail

MEDICARE: RUSTY A REESE DDS

MEDICARE: RUSTY A REESE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDE00010806WA

General Provider Information

NPI Number : 1982690780
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSTY A REESE DDS
Provider Business Mailing Address
First Line : 203 N WASHINGTON ST STE 300
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0233
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 1001 W 2ND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-4503
Country : US
Telephone Number : 509-434-0308
Fax Number : 509-835-1210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 09/09/2010

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Directions to “ RUSTY A REESE DDS” Practice Location

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