Individual
DR. JULIE MICAL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3165 CITRUS TOWER BLVD, CLERMONT, FL 34711-6883
(352) 241-6333
(352) 241-0706
Mailing address
3165 CITRUS TOWER BLVD, CLERMONT, FL 34711-6883
(352) 241-6333
(352) 241-0706
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN16399
FL
Other
Enumeration date
07/31/2006
Last updated
11/14/2018
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