Benjamin T Russell, DMD

NPI #1922168343 in Gresham, Oregon

Provider Information

NPI Number
1922168343
Entity Type
Individual
Name
Benjamin T Russell, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DMD
Enumeration Date
Dec 8, 2006
Last Updated
Jul 17, 2019

Practice Location

Address
742 NE DIVISION ST STE 102
State
Oregon
ZIP Code
97030-3979
Phone
(503) 667-2442

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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