Organization
F.H. RUSSOMANNO JR., D.D.S.. P.A.,
Active
Other names
Oakdale Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SAM JACOBSON (BUSINESS MANAGER)
(651) 731-6464
Entity
Organization
Contact information
Practice address
1077 HELMO AVE N, OAKDALE, MN 55128-5518
(651) 731-6464
Mailing address
1077 HELMO AVE N, OAKDALE, MN 55128-5518
(651) 731-6464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
08/06/2020
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