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Contact Information

RANOLPH D RUSH, DDS
3536 MENDOCINO AVE
SUITE #330
SANTA ROSA, CA95403-3634
 Phone: 707-545-4104
 Fax: 707-545-9668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RANOLPH D RUSH · (Male)

NPI Number 1013077403
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/08/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 23239
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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