Thad Rusiecki, Dds, Pllc
NPI #1992921092 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1992921092
- Entity Type
- Organization
- Organization Name
- Thad Rusiecki, Dds, Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 2602 CRANBERRY SQUARE
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26505
- Phone
- (304) 594-1515
Authorized Official
- Name
- THAD RUSIECKI, DDS
- Title
- OWNER
- Phone
- (304) 594-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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