Randall J Russell D.D.S.

NPI 1013170968 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1013170968
Gender Male
Enumeration Date 07/09/2008
Last Updated 03/11/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
20971 E SMOKY HILL RD
SUITE 201
CENTENNIAL CO, 80015-5186, US
Phone (720) 870-1451
Fax (720) 870-1456
Business Location
20971 E SMOKY HILL RD
SUITE 201
CENTENNIAL CO, 80015-5186, US
Phone (720) 870-1451
Fax (720) 870-1456
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Randall J Russell D.D.S. NPI is 1013170968, taxonomy code is 390200000X Randall J Russell D.D.S. physically located at 20971 E Smoky Hill Rd, Centennial CO, 80015-5186. NPI Number Randall J Russell D.D.S. has the Individual type.

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1013170968 NPI number is provided on an as is basis without warranty of any kind. 1013170968 is maintained by the National Plan & Provider Enumeration System. The contents of Randall J Russell D.D.S. are for informational purposes only.