Individual
DR. CHRISTOPHER RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
135 MONTADALE DR, PRINCETON, NJ 08540-7675
(609) 575-7671
Mailing address
135 MONTADALE DR, PRINCETON, NJ 08540-7675
(609) 575-7671
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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