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Organization

MICHAEL RUSSO DDS SUSAN E SCHARLOCK DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL RUSSO DDS (DENTIST OWNER)
(610) 696-1025
Entity
Organization

Contact information

Practice address
2 CIRCLE AVE, WEST CHESTER, PA 19382-4808
(610) 696-1025
(610) 696-1058
Mailing address
1039 GENERAL LAFAYETTE BLVD, WEST CHESTER, PA 19382-8084
(610) 793-0525

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024419L
PA

Other

Enumeration date
05/22/2007
Last updated
08/22/2020
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