Russell C. Pool, Dmd, PA

NPI #1093977647 in Nampa, Idaho

Provider Information

NPI Number: 1093977647
Entity Type: Organization
Organization Name: Russell C. Pool, Dmd, PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 109 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686-5047
Phone: (208) 467-2545

Authorized Official

Name: DR. RUSSELL C. POOL, DMD
Title: PRESIDENT
Phone: (208) 467-2545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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