DR. Cynthia Rae Russell, DDS

NPI #1770605412 in Cameron Park, California

Provider Information

NPI Number: 1770605412
Entity Type: Individual
Name: DR. Cynthia Rae Russell, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3294 ROYAL DR STE 103
City: Cameron Park
State: California
ZIP Code: 95682-8503
Phone: (530) 676-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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