DR. Russell Lee Mitchell, D.D.S.

NPI #1588810618 in Graperine, Texas

Provider Information

NPI Number: 1588810618
Entity Type: Individual
Name: DR. Russell Lee Mitchell, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 8, 2008
Last Updated: Jul 19, 2021

Practice Location

Address: 801 W WALL ST
City: Graperine
State: Texas
ZIP Code: 76051
Phone: (602) 478-6234

Specialties & Taxonomy Codes

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

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