Individual
DR. JANE A. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1305 POST RD, SUITE 104, FAIRFIELD, CT 06824-6016
(203) 256-8073
(203) 256-8378
Mailing address
1305 POST RD, SUITE 104, FAIRFIELD, CT 06824-6016
(203) 256-8073
(203) 256-8378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
007020
CT
Other
Enumeration date
09/18/2008
Last updated
02/25/2009
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