Russo, Jacqueline
Russo, Jacqueline is an sole proprietor health care provider with primary practice located at 11676 Dunes Rd , Boynton Beach FL 33436-5503. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Russo, Jacqueline can be contacted via phone (561) 212-9405.Contact Information
Primary practice address
11676 Dunes Rd
Boynton Beach FL 33436-5503
Phone: (561) 212-9405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN12954 | Florida |
Profile Details
| NPI number | 1225558604 |
|---|---|
| LBN Legal business name | Russo, Jacqueline |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Jun 26th, 2017 - about 9 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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