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Search › Wisconsin › General Practice Dentistry

Nicholas Russo, D.D.S

NPI 1134255672 · on the registry since 2007 · sole proprietor

Practice

Address
6754 W Beloit Rd
West Allis, WI 53219
Phone
(414) 327-1210
Fax
(414) 327-6850
Organisation at this address
New Beginnings Mental Health Clinic Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
WI
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 Wisconsin