Organization
CLERMONT PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE M RUSSO DMD (PARTNER)
(352) 241-6333
Entity
Organization
Contact information
Practice address
3165 CITRUS TOWER BLVD, CLERMONT, FL 34711-6883
(352) 241-6333
Mailing address
3165 CITRUS TOWER BLVD, CLERMONT, FL 34711-6883
(352) 241-6333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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