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1417092081
FRANK J RUSSO
WAYNE, NJ
NPI
1417092081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 12367)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. FRANK J RUSSO DMD
87 BERDAN AVE
WAYNE, NJ 07470-3210
Phone number: 973-633-1200
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Mailing Address
Dr. FRANK J RUSSO DMD
87 BERDAN AVE
WAYNE, NJ 07470-3210
Phone number: 973-633-1200
Copy
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