Thomas David Russo, D.M.D.
NPI #1285836452 in Winchester, Massachusetts
Provider Information
- NPI Number
- 1285836452
- Entity Type
- Individual
- Name
- Thomas David Russo, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.M.D.
- Enumeration Date
- Jun 1, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 63 SHORE RD STE 13
- City
- Winchester
- State
- Massachusetts
- ZIP Code
- 01890-2828
- Phone
- (781) 721-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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