| Rusk Dental Pllc | |
|
516 N Dickinson Dr Ste B Rusk TX 75785-1063 | |
| (903) 638-3200 | |
| Not Available |
| Full Name | Rusk Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 516 N Dickinson Dr Ste B, Rusk, Texas |
| Authorized Official Name and Position | Mona Agarwal (OWNER/DENTIST) |
| Authorized Official Contact | 4239431203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rusk Dental Pllc 516 N Dickinson Dr Ste B Rusk TX 75785-1063 Ph: () - | Rusk Dental Pllc 516 N Dickinson Dr Ste B Rusk TX 75785-1063 Ph: (903) 638-3200 |
| NPI Number | 1477184802 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477184802 | NPI | - | NPPES |
| 27214 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stacy Black, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Hatchett, Rusk, TX 75785 Phone: 903-683-5751 |