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Organization
WISCO RUSSO LLC
Active
Organization
WISCO RUSSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO WISCOVITCH RUSSO DMD (OWNER AND CHIEF DENTIST)
(787) 643-5041
Entity
Organization
Contact information
Practice address
ALBIZU CAMPOS (CARR 107) #2022 KM 1.2 BO MARBELLA, AGUADILLA, PR 00603
(787) 643-5041
Mailing address
PO BOX 2894, MAYAGUEZ, PR 00681-2894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
08/23/2026
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