Individual provider · Type 1 NPI

Nicholas Roy Russo, DDS

General Practice Dentistry · West Allis, WI

NPI number 1134255672 Active

About NPI 1134255672

Nicholas Roy Russo, DDS's National Provider Identifier is 1134255672, issued on Feb 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Allis, WI. The record was last updated on Jul 8, 2007.