Russell Dds Pc

NPI 1104249465 - Dentist - 1223G0001X

NPI Details
NPI 1104249465
Enumeration Date 01/22/2014
Last Updated 01/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name NATHAN GREGORY NATHAN
Position DOCTOR/OWNER
Phone (360) 377-7621
Fax (360) 377-6265
Practice Location
930 PARK AVE
BREMERTON WA, 98337-1551, US
Phone (360) 377-7621
Fax (360) 377-6265
Business Location
930 PARK AVE
BREMERTON WA, 98337-1551, US
Phone (360) 377-7621
Fax (360) 377-6265
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE00009670
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According to our database, Russell Dds Pc NPI is 1104249465, taxonomy code is 1223G0001X and license number is DE00009670, license state is located at Washington. Russell Dds Pc physically located at 930 Park Ave, Bremerton WA, 98337-1551. NPI Number 1033115704 has the healthcare provider type.

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1104249465 NPI number is provided on an as is basis without warranty of any kind. 1104249465 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Dds Pc are for informational purposes only.