DR. Alejandro Javier Wiscovitch Russo, DMD

NPI #1720583222 in Kingston, New York

Provider Information

NPI Number: 1720583222
Entity Type: Individual
Name: DR. Alejandro Javier Wiscovitch Russo, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 27, 2018
Last Updated: Jul 16, 2021

Practice Location

Address: ASPEN DENTAL
Address 2: 1159 ULSTER AVE
City: Kingston
State: New York
ZIP Code: 12401
Phone: (845) 336-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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