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1063574622
ANTHONY DANIEL RUSSO
FLUSHING, NY
NPI
1063574622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 030999)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. ANTHONY DANIEL RUSSO D.D.S.
4514 PARSONS BLVD
FLUSHING, NY 11355-2217
Phone number: 718-353-7373
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Mailing Address
Dr. ANTHONY DANIEL RUSSO D.D.S.
4514 PARSONS BLVD
FLUSHING, NY 11355-2217
Phone number: 718-353-7373
Copy
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