DR. Carmine Carlo Russo, DMD, MS

NPI #1295846921 in Midland Park, New Jersey

Provider Information

NPI Number: 1295846921
Entity Type: Individual
Name: DR. Carmine Carlo Russo, DMD, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DMD, MS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6 PROSPECT ST
Address 2: SUITE 1A
City: Midland Park
State: New Jersey
ZIP Code: 07432-1606
Phone: (201) 445-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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