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1710024443
BRIAN EDWARD RUSAK
FITCHBURG, MA
NPI
1710024443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MA 19971)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Dr. BRIAN EDWARD RUSAK D.M.D.
33 ELECTRIC AVE SUITE 103
FITCHBURG, MA 01420-7954
Phone number: 978-345-0001
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Mailing Address
Dr. BRIAN EDWARD RUSAK D.M.D.
33 ELECTRIC AVE SUITE 103
FITCHBURG, MA 01420-7954
Phone number: 978-345-0001
Copy
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