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1902025877
GREGORY RUSSO
VERNON, CT
NPI
1902025877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 8923)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- GREGORY RUSSO
351 MERLINE RD SUITE 301
VERNON, CT 06066-4040
Phone number: 860-875-5664
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Mailing Address
-- GREGORY RUSSO
351 MERLINE RD SUITE 301
VERNON, CT 06066-4040
Phone number: 860-875-5664
Copy
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