Russo, Walter Frank
Russo, Walter Frank is an individual health care provider with primary practice located at 85 Prospect St , Milford CT 06460-1950. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Russo, Walter Frank can be contacted via phone (203) 878-1445.Contact Information
Primary practice address
85 Prospect St
Milford CT 06460-1950
Phone: (203) 878-1445
Fax: (203) 876-8305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 6412 | Connecticut |
Profile Details
NPI number | 1922144617 |
---|---|
LBN Legal business name | Russo, Walter Frank |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 29th, 2007 |
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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