Wesley A Russell II, DDS

NPI #1861614018 in Shelbina, Missouri

Provider Information

NPI Number: 1861614018
Entity Type: Individual
Name: Wesley A Russell II, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 403 S CENTER
City: Shelbina
State: Missouri
ZIP Code: 63468-0276
Phone: (573) 588-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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