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Individual
DR. HARRY PATRICK RUSSELL II
Active
Individual
DR. HARRY PATRICK RUSSELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
401007391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497941058
TYPE II NPI NUMBER
VA
Enumeration date
10/24/2014
Last updated
10/24/2014
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