Russell Edward Klein, DMD
NPI #1639397128 in Carbondale, Illinois
Provider Information
- NPI Number
- 1639397128
- Entity Type
- Individual
- Name
- Russell Edward Klein, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 374 E GRAND AVE
- Address 2
- STUDENT HEALTH CENTER SIVC
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901
- Phone
- (618) 536-2421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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