Organization
CHARLES D. RUSSO, DMD,PA
Active
Other names
Coral Springs Oral and Maxillofacial Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D RUSSO DMD (PRESIDENT)
(954) 752-1045
Entity
Organization
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
DN0008338
FL
Other
Enumeration date
10/16/2007
Last updated
04/22/2013
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