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Peter Anthony Russo, DDS
Periodontist in Huntington Beach, California
NPI 1104846849

Peter Anthony Russo is a Periodontist based in Huntington Beach, CA and is specialized in Periodontics. Peter Anthony Russo practices in Huntington Beach, CA and has the professional credentials of DDS. The NPI Number for Peter Anthony Russo is 1104846849 and holds a License No. 41127 (California).

The current practice location address for Peter Anthony Russo is 18800 Main St, Huntington Beach, CA and can be reached out via phone at 714-842-2515 and via fax at 714-847-7075.

Location: 18800 Main St, Huntington Beach, CA, 92648-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104846849
Provider Name
Peter Anthony Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
18800 Main St, Huntington Beach, CA, 92648-1707
Phone Number
714-842-2515
Fax Number
714-847-7075
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18800 Main St
City
Huntington Beach
State
California
Zip
92648-1707
Phone Number
714-842-2515
Fax Number
714-847-7075
person
Provider Business Mailing Address Details
Address
18800 Main St
City
Huntington Beach
State
California
Zip
92648-1707
Phone Number
714-842-2515
Fax Number
714-847-7075
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
41127 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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