THAD RUSIECKI, DDS, PLLC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1992921092- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2602 CRANBERRY SQUARE, MORGANTOWN, WV, 26505
- Phone
- (304) 594-1515
- Fax
- (304) 594-0785
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: WV #3260