MR. Christopher John Russo, DDS

NPI #1619141611 in Longwood, Florida

Provider Information

NPI Number: 1619141611
Entity Type: Individual
Name: MR. Christopher John Russo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 22, 2008
Last Updated: Mar 27, 2013

Practice Location

Address: 1979 LONGWOOD LAKE MARY RD
Address 2: SUITE 1013
City: Longwood
State: Florida
ZIP Code: 32750-4670
Phone: (407) 320-0785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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