PETER RUSSO, D.D.S.
Dentist - Periodontics
Active
Individual
NPI: 1104846849
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | 41127 (CA) |
Frequently Asked Questions
NPI 1104846849 is the National Provider Identifier for PETER RUSSO, D.D.S., a Dentist - Periodontics provider located in Huntington Beach, CA. This NPI was enumerated on July 19, 2006.
PETER RUSSO, D.D.S. practices at 18800 MAIN ST, STE. 201, Huntington Beach, CA 92648.
Quick Facts
- NPI
- 1104846849
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
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