Russell G. Tripp. D.d.s. LLC

NPI #1891063228 in Warrenville, Illinois

Provider Information

NPI Number: 1891063228
Entity Type: Organization
Organization Name: Russell G. Tripp. D.d.s. LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 28W530 BATAVIA RD
Address 2: P.O. 291
City: Warrenville
State: Illinois
ZIP Code: 60555-3022
Phone: (630) 393-4600

Authorized Official

Name: DR. RUSSELL G. TRIPP, D.D.S.
Title: MEMBER
Phone: (630) 393-4600

Specialties & Taxonomy Codes

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

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