Search › Massachusetts › 122300000X
Mia Russo, DMD
NPI 1497313159 · on the registry since 2019
Practice
- Address
- 110 Lawnwood Ave
Longmeadow, MA 01106 - Phone
- (413) 335-2408
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-20
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 Massachusetts