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Individual

DR. RUSSELL P SPINAZZE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10 N RIDGE AVE, MT PROSPECT, IL 60056-2428
(847) 255-7080
(847) 255-6931
Mailing address
10 N RIDGE AVE, MT PROSPECT, IL 60056-2428
(847) 255-7080
(847) 255-6931

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
IL

Other

Enumeration date
09/09/2005
Last updated
07/08/2007
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