DR. Thaddus Rusiecki, D.D.S. PLLC
NPI #1437184496 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1437184496
- Entity Type
- Individual
- Name
- DR. Thaddus Rusiecki, D.D.S. PLLC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S. PLLC
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 2602 CRANBERRY SQUARE
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505
- Phone
- (304) 594-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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