Roberto Russo, DDS Valid NPI
Individual provider · Dentist · Clifton, NJ
- NPI
- 1538258678
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DI18730 (NJ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-08
Practice location
400 Broad St
Clifton, NJ 07013
(973) 478-4111