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1104846849
PETER ANTHONY RUSSO
HUNTINGTON BEACH, CA
NPI
1104846849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 41127)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- PETER ANTHONY RUSSO D.D.S.
18800 MAIN ST STE. 201
HUNTINGTON BEACH, CA 92648-1707
Phone number: 714-842-2515
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Mailing Address
-- PETER ANTHONY RUSSO D.D.S.
18800 MAIN ST STE. 201
HUNTINGTON BEACH, CA 92648-1707
Phone number: 714-842-2515
Copy
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