DR. Merrill Wiley Russell III, D.D.S.

NPI #1093838393 in Austin, Texas

Provider Information

NPI Number
1093838393
Entity Type
Individual
Name
DR. Merrill Wiley Russell III, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2915 MEDICAL ARTS ST
City
Austin
State
Texas
ZIP Code
78705-3325
Phone
(512) 477-9282

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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