Dirusso, Dominic Jacob
Dirusso, Dominic Jacob is an sole proprietor health care provider with primary practice located at 1450 Long Prairie Rd Ste 160, Flower Mound TX 75028. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dirusso, Dominic Jacob can be contacted via phone (469) 293-2220.Contact Information
Primary practice address
1450 Long Prairie Rd Ste 160
Flower Mound TX 75028
Phone: (469) 293-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 38883 | Texas |
Profile Details
| NPI number | 1518670959 |
|---|---|
| LBN Legal business name | Dirusso, Dominic Jacob |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2022 |
| Last updated | Dec 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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