JONATHON EDWARD RUSNAK

LAKE CHARLES, LA
NPI1891083515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  6067)
Enumeration Date2011-07-15
Last Update Date2011-07-15
Business Address
-- JONATHON EDWARD RUSNAK DDS
2629 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5911
Phone number: 337-474-3636
Mailing Address
-- JONATHON EDWARD RUSNAK DDS
2629 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5911
Phone number: 337-474-3636
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