Yellow Springs Dental Care John T Russell DDS Inc.
NPI #1568684140 in Yellow Springs, Ohio
Provider Information
- NPI Number
- 1568684140
- Entity Type
- Organization
- Organization Name
- Yellow Springs Dental Care John T Russell DDS Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 3, 2007
- Last Updated
- May 19, 2010
Practice Location
- Address
- 1030 XENIA AVE
- City
- Yellow Springs
- State
- Ohio
- ZIP Code
- 45387-1632
- Phone
- (937) 767-7731
Authorized Official
- Name
- DR. JOHN T RUSSELL, DDS
- Title
- CLINICIAN
- Phone
- (937) 767-7731
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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