DR. Carl M. Russell, DMD, PHD

NPI #1902873276 in Canton, Georgia

Provider Information

NPI Number
1902873276
Entity Type
Individual
Name
DR. Carl M. Russell, DMD, PHD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DMD, PHD
Enumeration Date
Mar 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6488 HICKORY FLAT HWY
City
Canton
State
Georgia
ZIP Code
30115-7235
Phone
(770) 720-8138

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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