Individual provider · Type 1 NPI

Julie Mical Russo, DMD

Pediatric Dentistry · Clermont, FL

NPI number 1407862675 Active

Practice location

3165 Citrus Tower Blvd
Clermont, FL 34711-6883

Fax (352) 241-0706

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN16399 (FL)

Pediatric Dentistry: 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.

3 other providers at this address

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About NPI 1407862675

Julie Mical Russo, DMD's National Provider Identifier is 1407862675, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Clermont, FL. The record was last updated on Nov 14, 2018.