Individual
DR. MIA FRANCESCA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 LAWNWOOD AVE, LONGMEADOW, MA 01106-3021
(413) 335-2408
Mailing address
110 LAWNWOOD AVE, LONGMEADOW, MA 01106-3021
(413) 335-2408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03464
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2019
Last updated
11/20/2020
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