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Individual
DR. ROBERT RUEL RUSSELL
Active
Individual
DR. ROBERT RUEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21510
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD28928
OR
Other
Enumeration date
05/08/2007
Last updated
06/02/2009
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