| T. Rutner Dds Dental Corporation | |
|
493 Pleasant Valley Rd Ste. #110 Diamond Springs CA 95619-9517 | |
| (533) 440-2900 | |
| (530) 344-0290 |
| Full Name | T. Rutner Dds Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 493 Pleasant Valley Rd Ste. #110, Diamond Springs, California |
| Authorized Official Name and Position | Maribel Aguilar Garcia (OFFICE MANAGER) |
| Authorized Official Contact | 5306773788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Rutner Dds Dental Corporation 493 Pleasant Valley Rd Ste. #110 Diamond Springs CA 95619-9517 Ph: (533) 440-2900 | T. Rutner Dds Dental Corporation 493 Pleasant Valley Rd Ste. #110 Diamond Springs CA 95619-9517 Ph: (533) 440-2900 |
| NPI Number | 1023825635 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023825635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
T. Rutner Dds Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 493 Main St Ste C, Diamond Springs, CA 95619 Phone: 530-344-0290 Fax: 530-344-0291 |