Russo Revand, Jessica

Russo Revand, Jessica is an sole proprietor health care provider with primary practice located at 4660 Kenmore Ave Suite 700, Alexandria VA 22304-1313. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Russo Revand, Jessica can be contacted via phone (703) 370-1327.

Contact Information

Primary practice address
4660 Kenmore Ave Suite 700 Alexandria VA 22304-1313
Phone: (703) 370-1327
Fax: (703) 370-1907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 0401412509 Virginia
Dental Providers / Endodontics 1223E0200X DEN1000827 District of Columbia
Dental Providers / Endodontics 1223E0200X 51517 California

Profile Details

NPI number 1770712705
LBN Legal business name Russo Revand, Jessica
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2009
Last updated Jul 13th, 2009 - about 15 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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