| John E. Russo, D.m.d, P.a. | |
|
430 N Mills Ave Ste 3 Orlando FL 32803-5746 | |
| (407) 843-2112 | |
| Not Available |
| Full Name | John E. Russo, D.m.d, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 430 N Mills Ave Ste 3, Orlando, Florida |
| Authorized Official Name and Position | Jenny Garcia Rocha (SR TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E. Russo, D.m.d, P.a. 430 N Mills Ave Ste 3 Orlando FL 32803-5746 Ph: (407) 843-2112 | John E. Russo, D.m.d, P.a. 430 N Mills Ave Ste 3 Orlando FL 32803-5746 Ph: (407) 843-2112 |
| NPI Number | 1508680497 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508680497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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