Individual
DR. LEONARD ALONZO RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2204 S TAYLOR RD, CLEVELAND HEIGHTS, OH 44118-3007
(216) 321-3462
(216) 371-2513
Mailing address
PO BOX 6357, CLEVELAND, OH 44101-1357
(216) 321-3462
(216) 371-2510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17282
OH
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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