KENNETH BRIAN RUSANOWSKI

SANTA FE, NM
NPI1174675185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NM  DD1585)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mr. KENNETH BRIAN RUSANOWSKI DDS
2 CALLE MEDICO STE 2
SANTA FE, NM 87505
Phone number: 505-988-2611
Mailing Address
Mr. KENNETH BRIAN RUSANOWSKI DDS
2 CALLE MEDICO STE 2
SANTA FE, NM 87505
Phone number: 505-988-2611
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