Organization Name: | RUTHERFORD&RUTHERFORD D.D.S., P.A.. |
NPI Number: | 1922205699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC THOMAS RUTHERFORD (PRESIDENT) |
Mailing Address: | 700 Falconer Rd Joppa |
State: | MD US |
Postal Code: | 210854422 |
Phone Number: | 4106764477 |
Fax Number: | 4106790842 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 9190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |