Russell DDS PC

NPI #1104249465 in Bremerton, Washington

Provider Information

NPI Number: 1104249465
Entity Type: Organization
Organization Name: Russell DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 22, 2014
Last Updated: Jan 22, 2014

Practice Location

Address: 930 PARK AVE
City: Bremerton
State: Washington
ZIP Code: 98337-1551
Phone: (360) 377-7621

Authorized Official

Name: DR. NATHAN GREGORY RUSSELL, DDS
Title: DOCTOR/OWNER
Phone: (360) 377-7621

Specialties & Taxonomy Codes

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

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