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Organization
MARK W. RUSSELL, DMD, PLLC
Active
Organization
MARK W. RUSSELL, DMD, PLLC
Active
Other names
Russell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. RUSSELL DMD (MEMBER AND MANAGER)
(252) 633-4444
Entity
Organization
Contact information
Practice address
2815 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-4444
(252) 638-1586
Mailing address
2815 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-4444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
06/03/2022
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