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Dr. Mary Kathleen Russo, DMD
General Practice Dentistry in Sea Girt, New Jersey
NPI 1710030234

Mary Kathleen Russo is a General Practice Dentistry based in Beachwood, NJ and is specialized in General Practice. Mary Kathleen Russo practices in Sea Girt, NJ and has the professional credentials of DMD. The NPI Number for Mary Kathleen Russo is 1710030234 and holds a License No. 22DI02293800 (New Jersey).

The current practice location address for Mary Kathleen Russo is 804 Highway 71, Sea Girt, NJ and can be reached out via phone at 732-449-6564 and via fax at 732-449-8606.

Location: 804 Highway 71, Sea Girt, NJ, 08722-4626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710030234
Provider Name
Mary Kathleen Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
804 Highway 71, Sea Girt, NJ, 08722-4626
Phone Number
732-449-6564
Fax Number
732-449-8606
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
804 Highway 71
City
Sea Girt
State
New Jersey
Zip
08750-2807
Phone Number
732-449-6564
Fax Number
732-449-8606
person
Provider Business Mailing Address Details
Address
804 Highway 71
City
Sea Girt
State
New Jersey
Zip
08750-2807
Phone Number
732-449-6564
Fax Number
732-449-8606
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02293800 (New Jersey)
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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