Organization
RICHARD R. RUTKOWSKI, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RONALD RUTKOWSKI D.D.S. (OWNER)
(269) 683-6331
Entity
Organization
Contact information
Practice address
2812 S 11TH ST, NILES, MI 49120-4422
(269) 683-6331
(269) 683-3411
Mailing address
2812 S 11TH ST, NILES, MI 49120-4422
(269) 683-6331
(269) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010965
MI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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