Individual provider · Type 1 NPI

Kathleen Marie Rusnak

Pediatric Dentistry · Orchard Park, NY

NPI number 1265061329 Active

Practice location

3364 Southwestern Blvd
Orchard Park, NY 14127-1524

Mailing address

13991 Route 78
South Wales, NY 14139-9519

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X062461 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1265061329

Kathleen Marie Rusnak's National Provider Identifier is 1265061329, issued on Apr 2, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Orchard Park, NY. The record was last updated on Dec 16, 2022.