Michael Vincent Russ DMD

NPI 1427188945 - Dentist - 1223G0001X

NPI Details
NPI 1427188945
Gender Male
Enumeration Date 03/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
111 CENTRE ST
NUTLEY NJ, 07110-3719, US
Phone (973) 662-0889
Fax (973) 662-0236
Business Location
111 CENTRE ST
NUTLEY NJ, 07110-3719, US
Phone (973) 662-0889
Fax (973) 662-0236
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI21517
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According to our database, Dr. Michael Vincent Russ DMD NPI is 1427188945, taxonomy code is 1223G0001X and license number is DI21517, license state is located at New Jersey. Michael Vincent Russ DMD physically located at 111 Centre St, Nutley NJ, 07110-3719. NPI Number Michael Vincent Russ DMD has the Individual type.

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1427188945 NPI number is provided on an as is basis without warranty of any kind. 1427188945 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Vincent Russ DMD are for informational purposes only.