DR. Russell Lane Holderness, DDS

NPI #1679808166 in Sisseton, South Dakota

Provider Information

NPI Number: 1679808166
Entity Type: Individual
Name: DR. Russell Lane Holderness, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 16, 2009
Last Updated: May 5, 2021

Practice Location

Address: 100 LAKE TRAVERSE DR
City: Sisseton
State: South Dakota
ZIP Code: 57262-7046
Phone: (605) 698-7606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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