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Individual
RUSSELL ERIC WARBURTON
Active
Individual
RUSSELL ERIC WARBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10241
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2017-02428
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
54513
TN
Other
Enumeration date
07/01/2010
Last updated
03/17/2018
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