DR. Nicolas Henry Russo, DMD
NPI #1205812765 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1205812765
- Entity Type
- Individual
- Name
- DR. Nicolas Henry Russo, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- DMD
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 PINCKNEY BLVD
- Address 2
- NAVAL HOSPITAL BEAUFORT
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-6122
- Phone
- (843) 228-5577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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