DR. Frank J Russo, DMD

NPI #1417092081 in Wayne, New Jersey

Provider Information

NPI Number: 1417092081
Entity Type: Individual
Name: DR. Frank J Russo, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 87 BERDAN AVE
City: Wayne
State: New Jersey
ZIP Code: 07470-3210
Phone: (973) 633-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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