Individual
KATHLEEN MARIE RUSNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3364 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1524
(716) 332-2444
Mailing address
13991 ROUTE 78, SOUTH WALES, NY 14139-9519
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062461
NY
Other
Enumeration date
04/02/2020
Last updated
12/16/2022
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