Dominic Jacob Dirusso, DDS
NPI #1518670959 in Flower Mound, Texas
Provider Information
- NPI Number
- 1518670959
- Entity Type
- Individual
- Name
- Dominic Jacob Dirusso, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 30, 2022
- Last Updated
- Dec 30, 2022
Practice Location
- Address
- 1450 LONG PRAIRIE RD
- Address 2
- STE 160
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028
- Phone
- (469) 293-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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