MS. Carissa L Russell, RDH

NPI #1750507166 in Othello, Washington

Provider Information

NPI Number: 1750507166
Entity Type: Individual
Name: MS. Carissa L Russell, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 140 E MAIN STREET
City: Othello
State: Washington
ZIP Code: 99344
Phone: (509) 488-5256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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