Individual provider · Type 1 NPI
Kenneth Brian Rusanowski, DDS
Periodontics · Santa Fe, NM
NPI number
1174675185
Active
Practice location
2 Calle Medico, Ste 2
Santa Fe, NM 87505
Fax (505) 820-0397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DD1585 (NM) |
Periodontics: 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.
Another provider at this address
Other periodontics providers in Santa Fe
About NPI 1174675185
Kenneth Brian Rusanowski, DDS's National Provider Identifier is 1174675185, issued on Jan 18, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.