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1992917488
LEO VICTOR RUSS
MAHWAH, NJ
NPI
1992917488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 9019)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- LEO VICTOR RUSS dds
265 WESTERVELT LANE
MAHWAH, NJ 07430
Phone number: 201-825-2590
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Mailing Address
-- LEO VICTOR RUSS dds
265 WESTERVELT LANE
MAHWAH, NJ 07430
Phone number: 201-825-2590
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