PETER DAVID RUSSO

BRANFORD, CT
NPI1568598076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CT  6739)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Dr. PETER DAVID RUSSO DMD
53 MONTOWESE ST
BRANFORD, CT 06405
Phone number: 203-483-1816
Mailing Address
Dr. PETER DAVID RUSSO DMD
53 MONTOWESE ST
BRANFORD, CT 06405
Phone number: 203-483-1816