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Organization
RUSSELL A. BARRON, DDS, INC, PS
Active
Organization
RUSSELL A. BARRON, DDS, INC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALLEN BARRON DDS (CEO)
(360) 629-2420
Entity
Organization
Contact information
Practice address
9619 271ST ST NW, STANWOOD, WA 98292-0819
(360) 629-2420
(360) 629-7211
Mailing address
PO BOX 819, STANWOOD, WA 98292-0819
(360) 629-2420
(360) 629-7211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151502
L & I REGULAR PROVIDER #
WA
05
—
5320205
—
WA
05
—
8004236
—
WA
01
—
8924064
L & I CRIME VICTIMS PROV#
WA
Enumeration date
03/19/2007
Last updated
11/19/2009
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