DR. Samuel Yohannes Russom, DDS
NPI #1144719196 in Chula Vista, California
Provider Information
- NPI Number
- 1144719196
- Entity Type
- Individual
- Name
- DR. Samuel Yohannes Russom, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- May 4, 2018
- Last Updated
- Dec 28, 2021
Practice Location
- Address
- 2015 BIRCH RD STE 103
- City
- Chula Vista
- State
- California
- ZIP Code
- 91915-2003
- Phone
- (619) 391-9287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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