Bradford Russell, DMD

NPI #1356355432 in Columbia, Missouri

Provider Information

NPI Number: 1356355432
Entity Type: Individual
Name: Bradford Russell, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 27, 2006
Last Updated: Apr 22, 2008

Practice Location

Address: 3005 FALLING LEAF CT
Address 2: SUITE 101
City: Columbia
State: Missouri
ZIP Code: 65201-3549
Phone: (573) 875-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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