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1427188945
MICHAEL VINCENT RUSS
NUTLEY, NJ
NPI
1427188945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NJ DI21517)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
DR. MICHAEL VINCENT RUSS DMD
111 CENTRE ST
NUTLEY, NJ 07110-3719
Phone number: 973-662-0889
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Mailing Address
DR. MICHAEL VINCENT RUSS DMD
111 CENTRE ST
NUTLEY, NJ 07110-3719
Phone number: 973-662-0889
Copy
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