Individual
DR. JOHN ALLEN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6450 LA HIGHWAY 1, BATCHELOR, LA 70715-3212
(225) 637-3535
Mailing address
6450 LA HIGHWAY 1, BATCHELOR, LA 70715-3212
(225) 492-3775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7028
LA
Other
Enumeration date
05/28/2019
Last updated
09/07/2019
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