Gregory S Russell, Dmd, P.a.

NPI #1619267903 in Berlin, Maryland

Provider Information

NPI Number
1619267903
Entity Type
Organization
Organization Name
Gregory S Russell, Dmd, P.a.
Primary Specialty
Dentist - Endodontics
Enumeration Date
Apr 8, 2011
Last Updated
Dec 23, 2014

Practice Location

Address
11200 RACETRACK RD STE 204
City
Berlin
ZIP Code
21811-3808
Phone
(410) 208-3333

Authorized Official

Name
DR. GREGORY S RUSSELL, DMD
Title
PRESIDENT
Phone
(410) 208-3333

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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