Organization
DMG-EAST MARKET, LLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL JAMES CAPUTO DMD (OWNER)
(412) 999-8533
Entity
Organization
Contact information
Practice address
135 EAST MARKET STREET, SUITE 116, BLAIRSVILLE, PA 15717-1356
(724) 459-5310
(724) 459-5848
Mailing address
PO BOX 827, AURORA, OH 44202-0827
(412) 999-8533
(330) 562-2011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018630L
PA
Other
Enumeration date
05/03/2007
Last updated
02/03/2012
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