Peter Russo, D.D.S

NPI 1104846849 · on the registry since 2006 · sole proprietor

Practice

Address: 18800 Main St
Ste. 201
Huntington Beach, CA 92648
Phone: (714) 842-2515
Fax: (714) 847-7075
Organisation at this address: Andrew P. Chu Pc
California Heart
Farsio D.D.S, Inc
Surf City Podiatry
Agape Dermatology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California