Individual
EMILY ROUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3705 BRIAR OAK CIR, MOUNTAIN BRK, AL 35223-2826
(205) 999-8109
Mailing address
3705 BRIAR OAK CIR, MOUNTAIN BRK, AL 35223-2826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6225
AL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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