DR. Russell C Teasdale, DMD

NPI #1083614689 in Portland, Oregon

Provider Information

NPI Number: 1083614689
Entity Type: Individual
Name: DR. Russell C Teasdale, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 26, 2005
Last Updated: Jun 13, 2023

Practice Location

Address: 1316 SW 13TH AVENUE
City: Portland
State: Oregon
ZIP Code: 97201
Phone: (503) 235-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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