Individual
DR. FRANK J RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
87 BERDAN AVE, WAYNE, NJ 07470-3210
(973) 633-1200
(973) 633-5282
Mailing address
87 BERDAN AVE, WAYNE, NJ 07470-3210
(973) 633-1200
(973) 633-5282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12367
NJ
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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