RUSSO DENTAL LLC NPI 1538557848

NPI Information

RUSSO DENTAL LLC is a general practice dentist in Brookfield, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RUSSO DENTAL LLC NPI is 1538557848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12690 W NORTH AVE
BROOKFIELD, WI
ZIP 53005-636
Phone: (262) 784-3740
Fax: (262) 784-3840

The provider's authorized official is Nicholas Vito Russo .
The authorized official title is Owner and has the following contact phone number (262) 894-1071.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 1/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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