Brett V Russell, DDS

NPI #1306053988 in Columbia, Missouri

Provider Information

NPI Number
1306053988
Entity Type
Individual
Name
Brett V Russell, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 16, 2007
Last Updated
Jun 16, 2009

Practice Location

Address
2310 FORUM BLVD
Address 2
SUITE A
ZIP Code
65203-5461
Phone
(573) 446-0032

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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