MRS. LISA RUSSO
Dental Hygienist
Active
Individual
NPI: 1134786726
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes | H06294 (AZ) |
Frequently Asked Questions
NPI 1134786726 is the National Provider Identifier for MRS. LISA RUSSO, a Dental Hygienist provider located in Gilbert, AZ. This NPI was enumerated on May 20, 2019.
MRS. LISA RUSSO practices at 2855 E BLACKHAWK CT, Gilbert, AZ 85298.
Quick Facts
- NPI
- 1134786726
- Type
- Individual
- Enumerated
- May 20, 2019
- Last Updated
- May 20, 2019
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