Individual
HARRY RUSSELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4736 STARKEY RD STE B, ROANOKE, VA 24018-8548
(540) 598-7297
Mailing address
4736 STARKEY RD STE B, ROANOKE, VA 24018-8548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420067
VA
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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