DR. Russell King Bass, D.D.S.

NPI #1134121288 in Coppell, Texas

Provider Information

NPI Number
1134121288
Entity Type
Individual
Name
DR. Russell King Bass, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
D.D.S.
Enumeration Date
Jun 1, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
220 S DENTON TAP RD
Address 2
STE 101
State
Texas
ZIP Code
75019-5098
Phone
(972) 393-6880

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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