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Individual

DR. RUSSELL KISER II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1245 S TRIMBLE RD, MANSFIELD, OH 44907-2229
(419) 756-2880
(419) 775-8820
Mailing address
1221 S TRIMBLE RD, BLDG A SUITE A1, MANSFIELD, OH 44907-2229
(419) 756-2880
(419) 775-8820

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21063
OH

Other

Enumeration date
07/24/2006
Last updated
03/31/2016
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