Individual
DR. JOHN ELIAS ROUSSALIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1216 E 2ND ST, CASPER, WY 82601-2927
(307) 234-8555
(307) 234-8555
Mailing address
1216 E 2ND ST, CASPER, WY 82601-2927
(307) 234-8555
(307) 234-8555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
WY 584
WY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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