| F.h. Russomanno Jr., D.d.s.. P.a., | |
|
1077 Helmo Ave N Oakdale MN 55128-5518 | |
| (651) 731-6464 | |
| Not Available |
| Full Name | F.h. Russomanno Jr., D.d.s.. P.a., |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1077 Helmo Ave N, Oakdale, Minnesota |
| Authorized Official Name and Position | Sam Jacobson (BUSINESS MANAGER) |
| Authorized Official Contact | 6517316464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F.h. Russomanno Jr., D.d.s.. P.a., 1077 Helmo Ave N Oakdale MN 55128-5518 Ph: (651) 731-6464 | F.h. Russomanno Jr., D.d.s.. P.a., 1077 Helmo Ave N Oakdale MN 55128-5518 Ph: (651) 731-6464 |
| NPI Number | 1447818422 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447818422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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