Individual
BRIANA LYNN RUSZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
104 SOUTHERN AVE, RAEFORD, NC 28376-3218
(910) 875-4008
Mailing address
1255 WOODHILL DR, GIBSONIA, PA 15044-9230
(724) 255-8520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417556
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
08/10/2022
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