Russo, Mia Francesca

Russo, Mia Francesca is an individual health care provider with primary practice located at 110 Lawnwood Ave , Longmeadow MA 01106-3021. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Russo, Mia Francesca can be contacted via phone (413) 335-2408.

Contact Information

Primary practice address
110 Lawnwood Ave Longmeadow MA 01106-3021
Phone: (413) 335-2408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DEN03464 Rhode Island

Profile Details

NPI number 1497313159
LBN Legal business name Russo, Mia Francesca
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2019
Last updated Nov 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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