DR. Russell Leon Harrison, DDS, MS

NPI #1609945674 in Columbia, Missouri

Provider Information

NPI Number: 1609945674
Entity Type: Individual
Name: DR. Russell Leon Harrison, DDS, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS, MS
Enumeration Date: Nov 6, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 33 E BROADWAY
Address 2: STE. 290
City: Columbia
State: Missouri
ZIP Code: 65203-4207
Phone: (573) 449-0794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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