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Individual
MR. RUSSELL W REDDELL
Active
Individual
MR. RUSSELL W REDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19405
TX
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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