Russo, Charles D

Russo, Charles D is an individual health care provider with primary practice located at 2801 N University Dr Suite 102, Coral Springs FL 33065-5057. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Russo, Charles D can be contacted via phone (954) 752-1045.

Contact Information

Primary practice address

2801 N University Dr Suite 102 Coral Springs FL 33065-5057

Phone: (954) 752-1045

Fax: (954) 344-9651

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Oral and Maxillofacial Surgery	1223S0112X	DN008338	Florida

Profile Details

NPI number	1295803443
LBN Legal business name	Russo, Charles D
Credentials	Doctor of Dental Medicine (DMD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 4th, 2006
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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