Organization
RUSSELL DDS PC
Active
Other names
Bremerton Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GREGORY RUSSELL DDS (DOCTOR/OWNER)
(360) 377-7621
Entity
Organization
Contact information
Practice address
930 PARK AVE, BREMERTON, WA 98337-1551
(360) 377-7621
(360) 377-6265
Mailing address
930 PARK AVE, BREMERTON, WA 98337-1551
(360) 377-7621
(360) 377-6265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009670
WA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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