Travis Ray Russell, DDS
NPI #1679001085 in Mc Kenzie, Tennessee
Provider Information
- NPI Number
- 1679001085
- Entity Type
- Individual
- Name
- Travis Ray Russell, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 30, 2017
- Last Updated
- May 30, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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