MARY KATHLEEN RUSSO

SEA GIRT, NJ
NPI1710030234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  22DI02293800)
Enumeration Date2007-01-19
Last Update Date2015-07-10
Business Address
Dr. MARY KATHLEEN RUSSO D.M.D
804 HIGHWAY 71
SEA GIRT, NJ 08750-2807
Phone number: 732-449-6564
Mailing Address
Dr. MARY KATHLEEN RUSSO D.M.D
808 SPRAY AVE
BEACHWOOD, NJ 08722-4626
Phone number: 973-747-5383