Dominic Jacob Dirusso, DDS Valid NPI
Individual provider · General Practice Dentistry · Flower Mound, TX
- NPI
- 1518670959
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 38883 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-12-30
- Last updated
- 2022-12-30
Practice location
1450 Long Prairie Rd, Ste 160
Flower Mound, TX 75028
(469) 293-2220