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1063553774
RICHARD G. RUSSO
ORLANDO, FL
NPI
1063553774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: FL DN10829)
Enumeration Date
2007-02-08
Last Update Date
2023-03-07
Business Address
Dr. RICHARD G. RUSSO DMD
832 W CENTRAL BLVD
ORLANDO, FL 32805-1809
Phone number: 407-836-2616
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Mailing Address
Dr. RICHARD G. RUSSO DMD
2500 21ST ST NW APT 79
WINTER HAVEN, FL 33881-1275
Phone number: 863-299-7748
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