Organization · Type 2 NPI
Justin Russo DDS PA
Dental Clinic/Center · Raleigh, NC
NPI number
1346732674
Active
Practice location
3811 Ed Dr Ste 120
Raleigh, NC 27612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1346732674
Justin Russo DDS PA's National Provider Identifier is 1346732674, issued on Jun 1, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 20, 2019.