MR. Kenneth Brian Rusanowski, DDS is a periodontics dentist in Santa Fe, NM. The provider is 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. MR. Kenneth Brian Rusanowski, DDS NPI is 1174675185. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2 CALLE MEDICO
STE 2
SANTA FE, NM
ZIP 87505
Phone: (505) 988-2611
Fax: (505) 820-0397
The NPI 1174675185 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/8/2007.