NPI Index

DR. MARK LARUSSO, D.D.S.

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1558358960

Practice Address

1647 TAUSSIG BOULEVARD
NAVAL DENTAL CLINIC NORFOLK
Norfolk, VA 23511

Phone: (757) 953-8698

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No -

Frequently Asked Questions

NPI 1558358960 is the National Provider Identifier for DR. MARK LARUSSO, D.D.S., a Dentist - Oral and Maxillofacial Surgery provider located in Norfolk, VA. This NPI was enumerated on September 30, 2005.
DR. MARK LARUSSO, D.D.S. practices at 1647 TAUSSIG BOULEVARD, NAVAL DENTAL CLINIC NORFOLK, Norfolk, VA 23511.

Quick Facts

NPI
1558358960
Type
Individual
Enumerated
Sep 30, 2005
Last Updated
Sep 5, 2007

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