Rusanowski, Kenneth Brian

Rusanowski, Kenneth Brian is an individual health care provider with primary practice located at 2 Calle Medico Ste 2, Santa Fe NM 87505. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Rusanowski, Kenneth Brian can be contacted via phone (505) 988-2611.

Contact Information

Primary practice address
2 Calle Medico Ste 2 Santa Fe NM 87505
Phone: (505) 988-2611
Fax: (505) 820-0397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DD1585 New Mexico

Profile Details

NPI number 1174675185
LBN Legal business name Rusanowski, Kenneth Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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