Leo Victor Russ, DDS
NPI #1992917488 in Mahwah, New Jersey
Provider Information
- NPI Number
- 1992917488
- Entity Type
- Individual
- Name
- Leo Victor Russ, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 265 WESTERVELT LANE
- City
- Mahwah
- State
- New Jersey
- ZIP Code
- 07430
- Phone
- (201) 825-2590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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