| Thomas Rutner Dds Professional Corporation | |
|
1116 Ski Run Blvd Ste 1 South Lake Tahoe CA 96150-9018 | |
| (530) 544-3426 | |
| Not Available |
| Full Name | Thomas Rutner Dds Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1116 Ski Run Blvd Ste 1, South Lake Tahoe, California |
| Authorized Official Name and Position | Thomas Alan Rutner (PRESIDENT) |
| Authorized Official Contact | 6509963005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Rutner Dds Professional Corporation Po Box 5973 Stateline NV 89449-5973 Ph: () - | Thomas Rutner Dds Professional Corporation 1116 Ski Run Blvd Ste 1 South Lake Tahoe CA 96150-9018 Ph: (530) 544-3426 |
| NPI Number | 1407609720 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407609720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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