DR. Elisa Russell, DDS

NPI #1366568859 in Moraga, California

Provider Information

NPI Number: 1366568859
Entity Type: Individual
Name: DR. Elisa Russell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 22, 2007
Last Updated: Oct 18, 2013

Practice Location

Address: 1722 SAINT ANDREWS DR
City: Moraga
State: California
ZIP Code: 94556-1033
Phone: (925) 818-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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