PETER ANTHONY RUSSO

HUNTINGTON BEACH, CA
NPI1104846849
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  41127)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- PETER ANTHONY RUSSO D.D.S.
18800 MAIN ST STE. 201
HUNTINGTON BEACH, CA 92648-1707
Phone number: 714-842-2515
Mailing Address
-- PETER ANTHONY RUSSO D.D.S.
18800 MAIN ST STE. 201
HUNTINGTON BEACH, CA 92648-1707
Phone number: 714-842-2515
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