Organization
STEPHEN T. RUSO, D.D.S., M.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RUSO DDS (MEMBER)
(813) 586-0560
Entity
Organization
Contact information
Practice address
3760 N WICKHAM RD STE 1, MELBOURNE, FL 32935-2326
(321) 242-9900
Mailing address
3760 N WICKHAM RD STE 1, MELBOURNE, FL 32935-2326
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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