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Emily Rousso, D.M.D.

Dentist in Mountain Brk, AL. Individual provider (NPI-1).

NPI number1982138525
StatusActive
Last updated in NPPESApr 19, 2017

Details

NPI
1982138525
Entity type
Individual (NPI-1)
Name
Emily Rousso
Credential
D.M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2017
Last updated
Apr 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6225ALYes

Practice location

3705 Briar Oak Cir
Mountain Brk, AL 35223-2826

Phone 205-999-8109

Mailing address

3705 Briar Oak Cir
Mountain Brk, AL 35223-2826

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