Organization
STEPHEN T. RUSO, D.D.S., M.S., P.L.L.C.
Active
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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