Individual
DR. AUGUSTUS S RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 MIDDLETOWN BLVD, THE COURTYARD AT OXFORD VALLEY #202, LANGHORNE, PA 19047-3203
(215) 757-0864
(215) 757-8090
Mailing address
310 MIDDLETOWN BLVD, THE COURTYARD AT OXFORD VALLEY #202, LANGHORNE, PA 19047-3203
(215) 757-0864
(215) 757-8090
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS019052L
PA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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