Individual
DR. RUSSELL W POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
83 SHENANGO ST, GREENVILLE, PA 16125
(724) 588-3010
(724) 588-3011
Mailing address
83 SHENANGO ST, GREENVILLE, PA 16125
(724) 588-3010
(724) 588-3011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020113L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005126620001
—
PA
Enumeration date
03/27/2007
Last updated
07/08/2007
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