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Dr. Alejandro Javier Wiscovitch Russo, DMD
General Practice Dentistry in Kingston, New York
NPI 1720583222

Alejandro Javier Wiscovitch Russo is a General Practice Dentistry based in Newburgh, NY and is specialized in General Practice. Alejandro Javier Wiscovitch Russo practices in Kingston, NY and has the professional credentials of DMD. The NPI Number for Alejandro Javier Wiscovitch Russo is 1720583222 and holds a License No. (New York).

The current practice location address for Alejandro Javier Wiscovitch Russo is Aspen Dental, Kingston, NY and can be reached out via phone at 845-336-0500.

Location: Aspen Dental, Kingston, NY, 12550-7066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720583222
Provider Name
Alejandro Javier Wiscovitch Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Aspen Dental, Kingston, NY, 12550-7066
Phone Number
845-336-0500
Fax Number
Provider Enumeration Date
03/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Aspen Dental
City
Kingston
State
New York
Zip
12401
Phone Number
845-336-0500
Fax Number
person
Provider Business Mailing Address Details
Address
Aspen Dental
City
Kingston
State
New York
Zip
12401
Phone Number
845-336-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
061693 (New York)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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