Gregory Russo Jr.
Gregory Russo Jr. is a General Practice Dentistry in Vernon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
351 Merline Rd Ste 301Vernon, CT 06066-4040
Phone: (860) 875-5664
Fax: (860) 875-0520
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 8923 (CT) |
|---|
Record details
| NPI number | 1902025877 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 351 Merline Rd, Suite 301, Vernon, CT 06066-4040 |
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Michael Shlafstein, DDS
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Vernon Family Dentists
351 Merline Rd Ste 301, Vernon, CT 06066-4040 · (860) 875-5664