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Contact Information

DAVID S RUTGARD, DDS
1203 2ND ST STE A
CORONADO, CA92118-1430
 Phone: 619-435-6840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for DAVID S RUTGARD · (Male)

NPI Number 1477280675
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/07/2022
Last updated 11/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 107735
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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