person
Dr. Angela Michelle Illuzzi-russo, DDS
Oral and Maxillofacial Surgery (Dentist) in Portland, Maine
NPI 1811041726

Angela Michelle Illuzzi-russo is a Oral and Maxillofacial Surgery (Dentist) based in Yarmouth, ME and is specialized in Oral and Maxillofacial Surgery. Angela Michelle Illuzzi-russo practices in Portland, ME and has the professional credentials of DDS. The NPI Number for Angela Michelle Illuzzi-russo is 1811041726 and holds a License No. 052809 (Maine).

The current practice location address for Angela Michelle Illuzzi-russo is 190 Park Ave, Portland, ME and can be reached out via phone at 207-874-1028. You can also correspond with Angela Michelle Illuzzi-russo through the mailing address at 10 LONE PINE LN, YARMOUTH, ME - 04096-6119 (mailing address contact number: 917-502-0030).

Location: 190 Park Ave, Portland, ME, 04096-6119
person
Provider Profile Details
NPI Number
1811041726
Provider Name
Angela Michelle Illuzzi-russo
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
190 Park Ave, Portland, ME, 04096-6119
Phone Number
207-874-1028
Fax Number
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
190 Park Ave
City
State
Zip
04102-1000
Phone Number
207-874-1028
Fax Number
person
Provider Business Mailing Address Details
Address
190 Park Ave
City
State
Zip
04102-1000
Phone Number
207-874-1028
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
052809 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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