Search › Virginia › 1223S0112X
Mark Larusso, D.D.S
NPI 1558358960 · on the registry since 2005
Practice
- Address
- 1647 Taussig Boulevard
Naval Dental Clinic Norfolk
Norfolk, VA 23511 - Phone
- (757) 953-8698
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- VA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia