| Stephen T. Ruso, D.d.s., M.s., P.l.l.c. | |
|
3760 N Wickham Rd Ste 1 Melbourne FL 32935-2326 | |
| (321) 242-9900 | |
| Not Available |
| Full Name | Stephen T. Ruso, D.d.s., M.s., P.l.l.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3760 N Wickham Rd Ste 1, Melbourne, Florida |
| Authorized Official Name and Position | Stephen Ruso (MEMBER) |
| Authorized Official Contact | 8135860560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen T. Ruso, D.d.s., M.s., P.l.l.c. 3760 N Wickham Rd Ste 1 Melbourne FL 32935-2326 Ph: () - | Stephen T. Ruso, D.d.s., M.s., P.l.l.c. 3760 N Wickham Rd Ste 1 Melbourne FL 32935-2326 Ph: (321) 242-9900 |
| NPI Number | 1093243917 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 05/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093243917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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