| Craig M Rousso Dmd Llc | |
|
120 Office Park Dr Ste 240 Mountain Brk AL 35223-3407 | |
| (205) 423-9140 | |
| Not Available |
| Full Name | Craig M Rousso Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Office Park Dr Ste 240, Mountain Brk, Alabama |
| Authorized Official Name and Position | Craig Rousso (MEMBER) |
| Authorized Official Contact | 2054239140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig M Rousso Dmd Llc 120 Office Park Dr Ste 240 Mountain Brk AL 35223-3407 Ph: (205) 423-9140 | Craig M Rousso Dmd Llc 120 Office Park Dr Ste 240 Mountain Brk AL 35223-3407 Ph: (205) 423-9140 |
| NPI Number | 1144855701 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144855701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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