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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER A. RUSSO, DDS, INC.

Active Organization

PETER A. RUSSO, DDS, INC. is a Periodontology organization located in HUNTINGTON BEACH, California. NPI 1194250019 is currently active in the NPPES registry. Verify at CMS.

Periodontology · HUNTINGTON BEACH, CA

Registration Details

NPI Number
1194250019
Provider Type
Organization
NPI Issued
Apr 28, 2017 (9.3230317507048 yrs)
Last Updated
Apr 28, 2017

Practice Information

Address
18800 MAIN ST
SUITE 201
HUNTINGTON BEACH, CA, 926481707
Browse CA providers · Browse ZIP 92648
Phone
7148422515
Fax
7148477075
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in HUNTINGTON BEACH, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.