DR. Anthony Daniel Russo, D.D.S.

NPI #1063574622 in Flushing, New York

Provider Information

NPI Number: 1063574622
Entity Type: Individual
Name: DR. Anthony Daniel Russo, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4514 PARSONS BLVD
City: Flushing
State: New York
ZIP Code: 11355-2217
Phone: (718) 353-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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