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Jacqueline Russo, DDS
NPI 1225558604 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11676 Dunes Rd
Boynton Beach, FL 33436 - Phone
- (561) 212-9405
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-26
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 Florida