Individual
DR. AIMEE RUSSO-MOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10235 JEFFERSON HWY., BUILDING #5, BATON ROUGE, LA 70809
(225) 292-7645
(225) 292-0345
Mailing address
10235 JEFFERSON HWY., BUILDING #5, BATON ROUGE, LA 70809
(225) 292-7645
(225) 292-0345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5136
LA
Other
Enumeration date
01/25/2007
Last updated
10/15/2020
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