MAURICE DOMINIC RUSSO

CHICAGO, IL
NPI1477618205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020897)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
Dr. MAURICE DOMINIC RUSSO D.D.S.
2444 S OAKLEY AVE
CHICAGO, IL 60608-4930
Phone number: 773-247-2907
Mailing Address
Dr. MAURICE DOMINIC RUSSO D.D.S.
2444 S OAKLEY AVE
CHICAGO, IL 60608-4930
Phone number: 773-247-2907