Maurice Dominic Russo D.D.S.

NPI 1477618205 - Dentist - 1223G0001X

NPI Details
NPI 1477618205
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2444 S OAKLEY AVE
CHICAGO IL, 60608-4930, US
Phone (773) 247-2907
Fax
Business Location
2444 S OAKLEY AVE
CHICAGO IL, 60608-4930, US
Phone (773) 247-2907
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Maurice Dominic Russo D.D.S. NPI is 1477618205, taxonomy code is 1223G0001X Maurice Dominic Russo D.D.S. physically located at 2444 S Oakley Ave, Chicago IL, 60608-4930. NPI Number Maurice Dominic Russo D.D.S. has the Individual type.

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1477618205 NPI number is provided on an as is basis without warranty of any kind. 1477618205 is maintained by the National Plan & Provider Enumeration System. The contents of Maurice Dominic Russo D.D.S. are for informational purposes only.