Organization · Type 2 NPI
Justin M Russo DDS PLLC
Dental Clinic/Center · Raleigh, NC
NPI number
1457844524
Active
Practice location
13220 Strickland Rd Ste 166
Raleigh, NC 27613-5213
Mailing address
3811 Ed Dr Ste 120
Raleigh, NC 27612-2393
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 1457844524
Justin M Russo DDS PLLC's National Provider Identifier is 1457844524, issued on Jun 12, 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.