Jenny S. Russell

NPI #1356437024 in Ellington, Missouri

Provider Information

NPI Number: 1356437024
Entity Type: Individual
Name: Jenny S. Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 115 WALNUT ST.
City: Ellington
State: Missouri
ZIP Code: 63638
Phone: (573) 663-3177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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