| Full Name | Joseph J Russo Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 47 William St, Lyons, New York |
| Authorized Official Name and Position | Joseph J Russo (DOCTOR/OWNER) |
| Authorized Official Contact | 3155278821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Russo Dds 1074 Carrington Way Victor NY 14564-8736 Ph: (315) 527-8821 | Joseph J Russo Dds 47 William St Lyons NY 14489-1544 Ph: (315) 946-6511 |
| NPI Number | 1942781984 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942781984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Family Dentistry Of Lyons, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Broad St, Lyons, NY 14489 Phone: 585-229-2588 |