GREGORY RUSSO

VERNON, CT
NPI1902025877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CT  8923)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- GREGORY RUSSO
351 MERLINE RD SUITE 301
VERNON, CT 06066-4040
Phone number: 860-875-5664
Mailing Address
-- GREGORY RUSSO
351 MERLINE RD SUITE 301
VERNON, CT 06066-4040
Phone number: 860-875-5664