Individual
DR. WALTER FRANK RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
85 PROSPECT ST, MILFORD, CT 06460-1950
(203) 878-1445
(203) 876-8305
Mailing address
85 PROSPECT ST, MILFORD, CT 06460-1950
(203) 878-1445
(203) 876-8305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6412
CT
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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