DR. David A Russell, DDS

NPI #1417153818 in Sauk Rapids, Minnesota

Provider Information

NPI Number: 1417153818
Entity Type: Individual
Name: DR. David A Russell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 400 N BENTON DR
City: Sauk Rapids
State: Minnesota
ZIP Code: 56379-1535
Phone: (320) 253-4206

Specialties & Taxonomy Codes

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

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