Organization
ROSCOMMON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN RUCINSKI (DENTIST)
(989) 821-9222
Entity
Organization
Contact information
Practice address
188 PINE BLUFFS RD, ROSCOMMON, MI 48653-8328
(989) 281-9222
(989) 821-4981
Mailing address
188 PINE BLUFFS RD, ROSCOMMON, MI 48653-8328
(989) 281-9222
(989) 821-4981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14132
MI
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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