NICOLAS HENRY RUSSO

BEAUFORT, SC
NPI1205812765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: NY  039175)
Enumeration Date2005-12-16
Last Update Date2007-07-08
Business Address
Dr. NICOLAS HENRY RUSSO DMD
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577
Mailing Address
Dr. NICOLAS HENRY RUSSO DMD
1 PINCKNEY BLVD NAVAL HOSPITAL BEAUFORT
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577