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1538276969
JOHN RUSSO
SARASOTA, FL
NPI
1538276969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: FL DN12786)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
DR. JOHN RUSSO DDS
1704 BAY RD
SARASOTA, FL 34239-6810
Phone number: 941-955-3100
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Mailing Address
DR. JOHN RUSSO DDS
1704 BAY RD
SARASOTA, FL 34239-6810
Phone number: 941-955-3100
Copy
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