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Individual

DR. RUSSELL JAMES CAPUTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022642
OH
122300000X
Dentist
DS026835L
PA
1223G0001X
General Practice Dentistry
DS26835L
PA

Other

Enumeration date
01/05/2007
Last updated
02/10/2012
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