DR. Henry Ralph Russo, D.D.S.

NPI #1316379217 in Purchase, New York

Provider Information

NPI Number: 1316379217
Entity Type: Individual
Name: DR. Henry Ralph Russo, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 1, 2013
Last Updated: Aug 1, 2013

Practice Location

Address: 3010 WESTCHESTER AVE
Address 2: SUITE 202
City: Purchase
State: New York
ZIP Code: 10577-2535
Phone: (914) 251-0117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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