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Organization
J CHRISTOPHER RUSSELL DDS AA PROFESSIONALCORPORATION
Active
Organization
J CHRISTOPHER RUSSELL DDS AA PROFESSIONALCORPORATION
Active
Other names
J Christopher Russell DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J CHRISTOPHER RUSSELL DDS (PRESIDENT AND CFO)
(562) 438-9486
Entity
Organization
Contact information
Practice address
3302 E BROADWAY, LONG BEACH, CA 90803-5905
(562) 438-9486
(562) 438-0152
Mailing address
3302 E BROADWAY, LONG BEACH, CA 90803-5905
(562) 438-9486
(562) 438-0152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37491
CA
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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