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1053334086
JOHN RUSSO
MIDDLETOWN, CT
NPI
1053334086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: CT 4961)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
DR. JOHN RUSSO D.M.D.
535 SAYBROOK RD
MIDDLETOWN, CT 06457-4743
Phone number: 860-347-7497
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Mailing Address
DR. JOHN RUSSO D.M.D.
836 FARMINGTON AVE SUITE 115
WEST HARTFORD, CT 06119-1505
Phone number: 860-232-0033
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