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Organization
RUSSELL G. TRIPP. D.D.S. LLC
Active
Organization
RUSSELL G. TRIPP. D.D.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL G. TRIPP D.D.S. (MEMBER)
(630) 393-4600
Entity
Organization
Contact information
Practice address
28W530 BATAVIA RD, P.O. 291, WARRENVILLE, IL 60555-3022
(630) 393-4600
(630) 393-4690
Mailing address
28W530 BATAVIA RD, P.O. 291, WARRENVILLE, IL 60555-3022
(630) 393-4600
(630) 393-4690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017749
IL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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