Individual
CLAIRE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
4900 OVERLAND AVE UNIT 155, CULVER CITY, CA 90230-4265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS109522
CA
Other
Enumeration date
01/06/2023
Last updated
03/20/2024
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