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Dr. John Joseph Russo, DDS
General Practice Dentistry in San Bruno, California
NPI 1023131513

John Joseph Russo is a General Practice Dentistry based in San Bruno, CA and is specialized in General Practice. John Joseph Russo practices in San Bruno, CA and has the professional credentials of DDS. The NPI Number for John Joseph Russo is 1023131513 and holds a License No. 25980 (California).

The current practice location address for John Joseph Russo is 1101 El Camino Real, San Bruno, CA and can be reached out via phone at 650-583-2273.

Location: 1101 El Camino Real, San Bruno, CA, 94066-2405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023131513
Provider Name
John Joseph Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1101 El Camino Real, San Bruno, CA, 94066-2405
Phone Number
650-583-2273
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 El Camino Real
City
San Bruno
State
California
Zip
94066-2405
Phone Number
650-583-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1101 El Camino Real
City
San Bruno
State
California
Zip
94066-2405
Phone Number
650-583-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
25980 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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