Russel Hamarnah Dmd Pllc

NPI #1902248149 in Winter Haven, Florida

Provider Information

NPI Number: 1902248149
Entity Type: Organization
Organization Name: Russel Hamarnah Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 29, 2013
Last Updated: Jul 29, 2013

Practice Location

Address: 1020 5TH ST SE
City: Winter Haven
State: Florida
ZIP Code: 33880-4210
Phone: (863) 299-1579

Authorized Official

Name: RASSEL ELHAMARNAH, DMD
Title: OWNER
Phone: (863) 299-1579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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