Individual
DR. STEPHEN RUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1912 W REYNOLDS ST, PLANT CITY, FL 33563-4700
(813) 567-7001
Mailing address
3412 WESTFIELD DR, BRANDON, FL 33511-7736
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 19633
FL
Other
Enumeration date
08/15/2011
Last updated
11/22/2012
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