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Organization
JESSICA RUSSO REVAND, DMD, MS, PLLC
Active
Organization
JESSICA RUSSO REVAND, DMD, MS, PLLC
Active
Other names
Russo Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA RUSSO REVAND DMD, MS (OWNER/ENDODONTIST)
(703) 503-0555
Entity
Organization
Contact information
Practice address
8987 HERSAND DR STE 3, BURKE, VA 22015-1604
(703) 503-0555
Mailing address
10603 OLIVER ST, FAIRFAX, VA 22030-3913
(202) 270-4779
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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