DR. Andrea W. Russell, D.M.D.

NPI #1487734067 in Canton, Georgia

Provider Information

NPI Number
1487734067
Entity Type
Individual
Name
DR. Andrea W. Russell, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D.
Enumeration Date
Oct 17, 2006
Last Updated
Sep 4, 2007

Practice Location

Address
8014 CUMMING HWY
Address 2
SUITE 401
City
Canton
State
Georgia
ZIP Code
30115-9339
Phone
(770) 345-2010

Specialties & Taxonomy Codes

Specialty
Dentist

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