NPI | 1669060364 |
---|---|
Doing Business As | RUSSO ENDODONTICS |
Entity Type | Organization |
Authorized Contact | JESSICA RUSSO REVAND Owner/Endodontist 703-503-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-01-07 |