person
Mr. Kenneth Brian Rusanowski, DDS
Periodontist in Santa Fe, New Mexico
NPI 1174675185

Kenneth Brian Rusanowski is a Periodontist based in Santa Fe, NM and is specialized in Periodontics. Kenneth Brian Rusanowski practices in Santa Fe, NM and has the professional credentials of DDS. The NPI Number for Kenneth Brian Rusanowski is 1174675185 and holds a License No. DD1585 (New Mexico).

The current practice location address for Kenneth Brian Rusanowski is 2 Calle Medico, Santa Fe, NM and can be reached out via phone at 505-988-2611 and via fax at 505-820-0397.

Location: 2 Calle Medico, Santa Fe, NM, 87505
person
Provider Profile Details
NPI Number
1174675185
Provider Name
Kenneth Brian Rusanowski
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2 Calle Medico, Santa Fe, NM, 87505
Phone Number
505-988-2611
Fax Number
505-820-0397
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2 Calle Medico
City
State
Zip
87505
Phone Number
505-988-2611
Fax Number
505-820-0397
person
Provider Business Mailing Address Details
Address
2 Calle Medico
City
State
Zip
87505
Phone Number
505-988-2611
Fax Number
505-820-0397
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DD1585 (New Mexico)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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