CHARLES D. RUSSO, DMD,PA
Dentist at University Dr, Pompano Beach, FL

License number
Florida DN0008338
Category
Dentist
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. CHARLES D RUSSO DMD
Title: PRESIDENT
Phone: (954) 752-1045
Address
Address
2801 N University Dr SUITE 102, Pompano Beach, FL 33065
National Provider ID: 1306035423
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Charles D Russo DMD

2801 N University Dr, Pompano Beach, FL 33065

Industry:
Office of Dental Surgeons
Doing business as:
Charles D. Russo, D.M.D., PA
Registration:
Jun 28, 1984
State ID:
H10052
Business type:
Domestic for Profit Corporation
Director, Vice Presidents:
Charles D. Russo (Family And General Dentistry, Owner, President, Treasurer, Director, Secretary),Jeffrey F. Elliot Director, Vice President, inactive
Agent:
Robert S. Zippin

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