Louis J Russo Jr Jonathan L Nicozisis Dmd Ms Pa Valid NPI

Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Princeton, NJ

NPI

1942425137

Type

Organization (Type 2)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

DI 20775 (NJ)

Enumerated

2007-04-15

Last updated

2020-08-22