DOMINIC JACOB DIRUSSO

FLOWER MOUND, TX
NPI1518670959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  38883)
Enumeration Date2022-12-30
Last Update Date2022-12-30
Business Address
DOMINIC JACOB DIRUSSO DDS
1450 LONG PRAIRIE RD STE 160
FLOWER MOUND, TX 75028
Phone number: 469-293-2220
Mailing Address
DOMINIC JACOB DIRUSSO DDS
1801 CREST VIEW DR
CARROLLTON, TX 75006-1609
Phone number: 972-567-4830