Dirk Russell D.m.d., P.c.

NPI #1689754202 in Canton, Georgia

Provider Information

NPI Number
1689754202
Entity Type
Organization
Organization Name
Dirk Russell D.m.d., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 17, 2006
Last Updated
Aug 28, 2007

Practice Location

Address
8014 CUMMING HWY
Address 2
SUITE 401
City
Canton
State
Georgia
ZIP Code
30115-9339
Phone
(770) 345-2010

Authorized Official

Name
DR. DIRK RUSSELL
Title
OWNER
Phone
(770) 345-2010

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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