| Robin Rutherford Dds Inc. | |
|
4712 E University Blvd Odessa TX 79762-8105 | |
| (432) 367-0202 | |
| (432) 367-0636 |
| Full Name | Robin Rutherford Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4712 E University Blvd, Odessa, Texas |
| Authorized Official Name and Position | Robin Dana Rutherford (OWNER) |
| Authorized Official Contact | 4323670202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Rutherford Dds Inc. 4712 E University Blvd Odessa TX 79762-8105 Ph: (432) 367-0202 | Robin Rutherford Dds Inc. 4712 E University Blvd Odessa TX 79762-8105 Ph: (432) 367-0202 |
| NPI Number | 1083041529 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083041529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13393 (Texas) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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