DR. Russell K. Hanes, D.D.S.
NPI #1336100569 in Sierra Vista, Arizona
Provider Information
- NPI Number
- 1336100569
- Entity Type
- Individual
- Name
- DR. Russell K. Hanes, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1900 PASEO SAN LUIS
- City
- Sierra Vista
- State
- Arizona
- ZIP Code
- 85635-4614
- Phone
- (520) 458-2415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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