Shannon S. Russell, Dds, Inc.

NPI #1902031974 in Arnold, California

Provider Information

NPI Number
1902031974
Entity Type
Organization
Organization Name
Shannon S. Russell, Dds, Inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
May 20, 2009
Last Updated
May 20, 2009

Practice Location

Address
2720 HIGHWAY 4
Address 2
SUITE 3 & 4
City
Arnold
ZIP Code
95223
Phone
(209) 795-1535

Authorized Official

Name
DR. SHANNON S RUSSELL, DDS
Title
PRESIDENT
Phone
(209) 795-1535

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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