JOHN JOSEPH RUSSO

SAN BRUNO, CA
NPI1023131513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  25980)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Dr. JOHN JOSEPH RUSSO DDS
1101 EL CAMINO REAL
SAN BRUNO, CA 94066-2405
Phone number: 650-583-2273
Mailing Address
Dr. JOHN JOSEPH RUSSO DDS
1101 EL CAMINO REAL
SAN BRUNO, CA 94066-2405
Phone number: 650-583-2273
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