NICHOLAS VITO RUSSO

BROOKFIELD, WI
NPI1063811297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  1000994-15)
Enumeration Date2014-08-13
Last Update Date2016-02-09
Business Address
Dr. NICHOLAS VITO RUSSO D.D.S.
12690 W NORTH AVE
BROOKFIELD, WI 53005-4636
Phone number: 262-784-3740
Mailing Address
Dr. NICHOLAS VITO RUSSO D.D.S.
12690 W NORTH AVE
BROOKFIELD, WI 53005-4636
Phone number: 262-784-3740
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