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Individual

DR. MICHELA RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
362 PARSIPPANY ROAD, SUITE A4, PARSIPPANY, NJ 07054
(973) 428-1515
(973) 428-7389
Mailing address
362 PARSIPPANY ROAD, SUITE A4, PARSIPPANY, NJ 07054
(973) 428-1515
(973) 428-7389

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI19775
NJ

Other

Enumeration date
05/03/2007
Last updated
08/15/2007
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