Individual
MR. CHRISTOPHER JOHN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1979 LONGWOOD LAKE MARY RD, SUITE 1013, LONGWOOD, FL 32750-4670
(407) 320-0785
Mailing address
903 PONDVIEW LN, CELEBRATION, FL 34747-4214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15234
FL
Other
Enumeration date
04/22/2008
Last updated
03/27/2013
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