DR. Kathy Russell, DDS

NPI #1891877007 in Linden, Texas

Provider Information

NPI Number: 1891877007
Entity Type: Individual
Name: DR. Kathy Russell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 103 CHURCH ST
City: Linden
State: Texas
ZIP Code: 75563
Phone: (903) 756-5154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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