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1346252616
MICHAEL P RUSSO
WORCESTER, MA
NPI
1346252616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: MD 19644)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
DR. MICHAEL P RUSSO D.M.D., M.S.D.
67 HIGHLAND ST
WORCESTER, MA 01609-2734
Phone number: 508-791-5529
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Mailing Address
DR. MICHAEL P RUSSO D.M.D., M.S.D.
24 WALKER ST
NEWTONVILLE, MA 02460-1518
Phone number: 617-964-1268
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