Individual
DR. CHARLES D RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2801 N UNIVERSITY DR, SUITE 102, CORAL SPRINGS, FL 33065-5057
(954) 752-1045
(954) 344-9651
Mailing address
2801 N UNIVERSITY DR, SUITE 102, CORAL SPRINGS, FL 33065-5057
(954) 752-1045
(954) 344-9651
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN008338
FL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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