Individual
DR. HEDLEY RAKUSIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
11910 GREENVILLE AVE, STE 110, DALLAS, TX 75243-3564
(972) 644-1162
(972) 783-6660
Mailing address
11910 GREENVILLE AVE, STE 110, DALLAS, TX 75243-3564
(972) 644-1162
(972) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14886
TX
Other
Enumeration date
06/20/2005
Last updated
07/08/2007
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