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1477618205
MAURICE DOMINIC RUSSO
CHICAGO, IL
NPI
1477618205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020897)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
Dr. MAURICE DOMINIC RUSSO D.D.S.
2444 S OAKLEY AVE
CHICAGO, IL 60608-4930
Phone number: 773-247-2907
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Mailing Address
Dr. MAURICE DOMINIC RUSSO D.D.S.
2444 S OAKLEY AVE
CHICAGO, IL 60608-4930
Phone number: 773-247-2907
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