Individual
DR. ALEXIS RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10235 JEFFERSON HWY., BUILDING #5, BATON ROUGE, LA 70809
(225) 292-7645
(225) 292-0345
Mailing address
10235 JEFFERSON HWY., BUILDING #5, BATON ROUGE, LA 70809
(225) 292-7645
(225) 292-0345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5986
LA
Other
Enumeration date
06/23/2009
Last updated
10/20/2020
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