Russell V Stover, Dds, Pc

NPI 1154693984 - Dentist - 122300000X

NPI Details
NPI 1154693984
Enumeration Date 02/09/2012
Last Updated 02/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RUSSELL V RUSSELL
Position OWNER
Phone (972) 221-9334
Fax (972) 436-7130
Practice Location
326 S EDMONDS #105
LEWISVILLE TX, 75067, US
Phone (972) 221-9334
Fax (972) 436-7130
Business Location
326 S EDMONDS #105
LEWISVILLE TX, 75067, US
Phone (972) 221-9334
Fax (972) 436-7130
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 14252
Remove 1154693984 NPI Number
 

According to our database, Russell V Stover, Dds, Pc NPI is 1154693984, taxonomy code is 122300000X and license number is 14252, license state is located at Texas. Russell V Stover, Dds, Pc physically located at 326 S Edmonds #105, Lewisville TX, 75067. NPI Number 1033115704 has the healthcare provider type.

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1154693984 NPI number is provided on an as is basis without warranty of any kind. 1154693984 is maintained by the National Plan & Provider Enumeration System. The contents of Russell V Stover, Dds, Pc are for informational purposes only.