Individual
DR. RUSSELL DAVID BIENIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
96TH DENTAL SQUADRON (AFMC), EGLIN AFB, FL 32542
(850) 833-8324
Mailing address
96TH DENTAL SQUADRON (AFMC), EGLIN AFB, FL 32542
(850) 833-8324
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN19321
FL
1223G0001X
General Practice Dentistry
DN 19321
FL
Other
Enumeration date
06/28/2011
Last updated
09/22/2020
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