NPI | 1508680497 |
---|---|
Doing Business As | JOHN E. RUSSO, D.M.D. FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA ROCHA Sr Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-11-08 |
Last Update Date | 2024-11-08 |