Camille Joseph Russo III DDS

NPI 1881628501 - Dentist - 1223G0001X

NPI Details
NPI 1881628501
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1504 E HIGHWAY 30
GONZALES LA, 70737-4766, US
Phone (225) 644-5311
Fax (225) 644-5312
Business Location
1504 E HIGHWAY 30
GONZALES LA, 70737-4766, US
Phone (225) 644-5311
Fax (225) 644-5312
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 3467
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According to our database, Dr. Camille Joseph Russo III DDS NPI is 1881628501, taxonomy code is 1223G0001X and license number is 3467, license state is located at Louisiana. Camille Joseph Russo III DDS physically located at 1504 E Highway 30, Gonzales LA, 70737-4766. NPI Number Camille Joseph Russo III DDS has the Individual type.

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1881628501 NPI number is provided on an as is basis without warranty of any kind. 1881628501 is maintained by the National Plan & Provider Enumeration System. The contents of Camille Joseph Russo III DDS are for informational purposes only.