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Organization
RUSS & SENDER DDS PC
Active
Organization
RUSS & SENDER DDS PC
Active
Other names
Broadway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M RUSS DDS (OWNER DENTIST)
(516) 681-2525
Entity
Organization
Contact information
Practice address
82 WEST JOHN STREET, HICKSVILLE, NY 11801
(516) 681-2525
(516) 681-3514
Mailing address
82 WEST JOHN STREET, HICKSVILLE, NY 11801
(516) 681-2525
(516) 681-3514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
11/24/2009
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