| NPI | 1346732674 |
|---|---|
| Doing Business As | RUSSO DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN RUSSO Owner 919-890-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-03-20 |