Individual
DR. JOHN E RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
430 N MILLS AVE, ORLANDO, FL 32803-5746
(407) 843-2112
(407) 843-1702
Mailing address
430 N MILLS AVE STE 3, ORLANDO, FL 32803-5746
(407) 843-2112
(407) 843-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013542
FL
Other
Enumeration date
04/18/2006
Last updated
01/14/2024
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