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Kathleen Marie Rusnak

Dentist, Pediatric Dentistry in Orchard Park, NY. Individual provider (NPI-1).

NPI number1265061329
StatusActive
Last updated in NPPESDec 16, 2022

Details

NPI
1265061329
Entity type
Individual (NPI-1)
Name
Kathleen Marie Rusnak
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2020
Certification date
Dec 16, 2022
Last updated
Dec 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry062461NYYes

Practice location

3364 Southwestern Blvd
Orchard Park, NY 14127-1524

Phone 716-332-2444

Mailing address

13991 Route 78
South Wales, NY 14139-9519

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Other Pediatric Dentistry providers in Orchard Park, NY

All 5 Pediatric Dentistry providers in Orchard Park · All 1,606 providers in Orchard Park

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