Organization
ROUSSO PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ROUSSO DMD (PEDIATRIC DENTIST)
(205) 203-0584
Entity
Organization
Contact information
Practice address
2716 18TH PL S STE 100, HOMEWOOD, AL 35209-1910
(205) 203-0584
Mailing address
2716 18TH PL S STE 100, HOMEWOOD, AL 35209-1910
(205) 203-0584
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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