MR. Kenneth Brian Rusanowski, DDS
NPI #1174675185 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1174675185
- Entity Type
- Individual
- Name
- MR. Kenneth Brian Rusanowski, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2 CALLE MEDICO
- Address 2
- STE 2
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505
- Phone
- (505) 988-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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|---|---|
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