Peter A. Russo, D.D.S.
Periodontics · Huntington Beach, CA
UnclaimedD.D.S.NPI 1104846849
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2006-07-19
- Practice location
- Huntington Beach, CA
- Last NPPES update
- 2007-07-08
State licenses
- CA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.