Individual provider · Type 1 NPI

Jacqueline Russo, DDS

General Practice Dentistry · Boynton Beach, FL

NPI number 1225558604 Active

About NPI 1225558604

Jacqueline Russo, DDS's National Provider Identifier is 1225558604, issued on Jun 26, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boynton Beach, FL. The record was last updated on Jun 26, 2017.