DR. Michael P Russo, D.M.D., M.S.D.

NPI #1346252616 in Worcester, Massachusetts

Provider Information

NPI Number: 1346252616
Entity Type: Individual
Name: DR. Michael P Russo, D.M.D., M.S.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: D.M.D., M.S.D.
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 67 HIGHLAND ST
City: Worcester
State: Massachusetts
ZIP Code: 01609-2734
Phone: (508) 791-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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