DR. NICOLAS RUSSO, DMD
Dentist - Prosthodontics
Active
Individual
NPI: 1205812765
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Prosthodontics | 1223P0700X | Yes | 039175 (NY) |
Frequently Asked Questions
NPI 1205812765 is the National Provider Identifier for DR. NICOLAS RUSSO, DMD, a Dentist - Prosthodontics provider located in Beaufort, SC. This NPI was enumerated on December 16, 2005.
DR. NICOLAS RUSSO, DMD practices at 1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, Beaufort, SC 29902.
Quick Facts
- NPI
- 1205812765
- Type
- Individual
- Enumerated
- Dec 16, 2005
- Last Updated
- Jul 8, 2007
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