| Richard R. Rutkowski, D.d.s., P.c. | |
|
2812 S 11th St Niles MI 49120-4422 | |
| (269) 683-6331 | |
| (269) 683-3411 |
| Full Name | Richard R. Rutkowski, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2812 S 11th St, Niles, Michigan |
| Authorized Official Name and Position | Richard Ronald Rutkowski (OWNER) |
| Authorized Official Contact | 2696836331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R. Rutkowski, D.d.s., P.c. 2812 S 11th St Niles MI 49120-4422 Ph: (269) 683-6331 | Richard R. Rutkowski, D.d.s., P.c. 2812 S 11th St Niles MI 49120-4422 Ph: (269) 683-6331 |
| NPI Number | 1295271393 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295271393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901010965 (Michigan) | Primary |
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