Peter J Russo, DMD

NPI #1053485672 in Auburn, Massachusetts

Provider Information

NPI Number: 1053485672
Entity Type: Individual
Name: Peter J Russo, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 567 SOUTHBRIDGE
City: Auburn
State: Massachusetts
ZIP Code: 01520
Phone: (508) 832-3317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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