DR. Russell Layne Coad, D.D.S.

NPI #1104900430 in Wichita, Kansas

Provider Information

NPI Number
1104900430
Entity Type
Individual
Name
DR. Russell Layne Coad, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Oct 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3525 N RIDGE RD STE 100
State
Kansas
ZIP Code
67205-1212
Phone
(316) 773-3882

Specialties & Taxonomy Codes

Specialty
Dentist

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