Russo, Peter Anthony

Russo, Peter Anthony is an sole proprietor health care provider with primary practice located at 18800 Main St Ste. 201, Huntington Beach CA 92648-1707. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Russo, Peter Anthony can be contacted via phone (714) 842-2515.

Contact Information

Primary practice address

18800 Main St Ste. 201 Huntington Beach CA 92648-1707

Phone: (714) 842-2515

Fax: (714) 847-7075

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Periodontics	1223P0300X	41127	California

Profile Details

NPI number	1104846849
LBN Legal business name	Russo, Peter Anthony
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Jul 19th, 2006
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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