Organization
KEVIN D RUCINSKI DDS
Active
Other names
Roscommon Family Dentistry Michigan Denture Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BRIAN RUCINSKI DDS (OWNER PRESIDENT)
(989) 821-9222
Entity
Organization
Contact information
Practice address
188 PINE BLUFFS, ROSCOMMON, MI 48653
(989) 821-9222
(989) 821-4981
Mailing address
188 PINE BLUFFS, ROSCOMMON, MI 48653
(989) 821-9222
(989) 821-4981
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14132
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4529944
—
MI
Enumeration date
05/04/2007
Last updated
08/22/2020
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