Individual
DR. RONALD CHARLES RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7500 E MCDONALD DR, SUITE 101-B, SCOTTSDALE, AZ 85250-6052
(480) 998-3355
(480) 948-5153
Mailing address
7500 E. MCDONALD DR., SUITE 101-B, SCOTTSDALE, AZ 85250-6000
(480) 998-3355
(480) 948-5153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2348
AZ
Other
Enumeration date
11/02/2006
Last updated
07/29/2016
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