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:
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Health care specialties

SpecialtyCodeLicense #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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