| 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 |