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Dr. Julie Mical Russo, DMD
Pediatric Dentist in Clermont, Florida
NPI 1407862675

Julie Mical Russo is a Pediatric Dentist based in Clermont, FL and is specialized in Pediatric Dentistry. Julie Mical Russo practices in Clermont, FL and has the professional credentials of DMD. The NPI Number for Julie Mical Russo is 1407862675 and holds a License No. DN16399 (Florida).

The current practice location address for Julie Mical Russo is 3165 Citrus Tower Blvd, Clermont, FL and can be reached out via phone at 352-241-6333 and via fax at 352-241-0706.

Location: 3165 Citrus Tower Blvd, Clermont, FL, 34711-6883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407862675
Provider Name
Julie Mical Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3165 Citrus Tower Blvd, Clermont, FL, 34711-6883
Phone Number
352-241-6333
Fax Number
352-241-0706
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3165 Citrus Tower Blvd
City
Clermont
State
Florida
Zip
34711-6883
Phone Number
352-241-6333
Fax Number
352-241-0706
person
Provider Business Mailing Address Details
Address
3165 Citrus Tower Blvd
City
Clermont
State
Florida
Zip
34711-6883
Phone Number
352-241-6333
Fax Number
352-241-0706
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN16399 (Florida)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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