Russell Pesavento, DDS

NPI 1861933137 · on the registry since 2017 · sole proprietor

Practice

Address: 1118 N Larkin Ave
Joliet, IL 60435
Phone: (815) 714-2271
Organisation at this address: Ccb Dental Associates Pc
Associated Orthodontists, Ltd.
Nash Upper Cervical Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-03-20

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 Illinois