Joseph Russo, DDS

NPI #1609211663 in Lyons, New York

Provider Information

NPI Number: 1609211663
Entity Type: Individual
Name: Joseph Russo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 5, 2013
Last Updated: Oct 16, 2018

Practice Location

Address: 47 WILLIAM ST
City: Lyons
State: New York
ZIP Code: 14489-1544
Phone: (315) 946-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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