MR. Edward Riley Russell, DDS
NPI #1780691931 in Twain Harte, California
Provider Information
- NPI Number
- 1780691931
- Entity Type
- Individual
- Name
- MR. Edward Riley Russell, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22629 TWAIN HARTE DR
- City
- Twain Harte
- State
- California
- ZIP Code
- 95383
- Phone
- (209) 586-2772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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