NPI 1467078485

Angela Russo, LDH

Practitioner Dental Hygienist Kokomo, IN

Practice location

Address: 3118 S Lafountain St, Kokomo, IN 46902-3710
Phone: (765) 864-4160

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 13003464A (IN)

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Registry record

NPI: 1467078485
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2020
Record last updated: 25 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.