DR. John Joseph Russo, DDS
NPI #1023131513 in San Bruno, California
Provider Information
- NPI Number
- 1023131513
- Entity Type
- Individual
- Name
- DR. John Joseph Russo, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1101 EL CAMINO REAL
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-2405
- Phone
- (650) 583-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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