DR. Nicholas Roy Russo, D.D.S.
NPI #1134255672 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1134255672
- Entity Type
- Individual
- Name
- DR. Nicholas Roy Russo, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6754 W BELOIT RD
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-2068
- Phone
- (414) 327-1210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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