Individual
DR. WILLIAM DIRK RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8014 CUMMING HWY SUITE 401, CANTON, GA 30115
(770) 345-2010
(770) 345-0571
Mailing address
8014 CUMMING HWY SUITE 401, CANTON, GA 30115
(770) 345-2010
(770) 345-0571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012158
KY
Other
Enumeration date
10/17/2006
Last updated
12/06/2021
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