D'amore Russo Dental Design Studio Dr DDS
NPI #1609364108 in Montclair, New Jersey
Provider Information
- NPI Number
- 1609364108
- Entity Type
- Organization
- Organization Name
- D'amore Russo Dental Design Studio Dr DDS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 100 GROVE ST STE 3
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4006
- Phone
- (973) 233-1161
Authorized Official
- Name
- DR. JOSEPH CARLO D'AMORE, DDS
- Title
- DENTIST
- Phone
- (973) 233-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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