| Rousso Pediatric Dentistry Llc | |
|
2716 18th Pl S Ste 100 Homewood AL 35209-1910 | |
| (205) 203-0584 | |
| Not Available |
| Full Name | Rousso Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2716 18th Pl S Ste 100, Homewood, Alabama |
| Authorized Official Name and Position | Emily Rousso (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2052030584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rousso Pediatric Dentistry Llc 2716 18th Pl S Ste 100 Homewood AL 35209-1910 Ph: (205) 203-0584 | Rousso Pediatric Dentistry Llc 2716 18th Pl S Ste 100 Homewood AL 35209-1910 Ph: (205) 203-0584 |
| NPI Number | 1457198947 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457198947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Petznick Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 6, Homewood, AL 35209 Phone: 205-326-7444 Fax: 205-637-1933 | |
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