DR. Timothy Joseph Rusiecki, DDS

NPI #1508959016 in Chicopee, Massachusetts

Provider Information

NPI Number: 1508959016
Entity Type: Individual
Name: DR. Timothy Joseph Rusiecki, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1176 MEMORIAL DRIVE
City: Chicopee
State: Massachusetts
ZIP Code: 01020-3960
Phone: (413) 593-5772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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