Individual
DR. RAND KEITH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5745 ERINDALE DR STE 200, COLORADO SPRINGS, CO 80918-8902
(719) 599-7665
(719) 599-8599
Mailing address
5745 ERINDALE DR STE 200, COLORADO SPRINGS, CO 80918-8902
(719) 599-7665
(719) 599-8599
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10456
NC
1223G0001X
General Practice Dentistry
D5925
AZ
Other
Enumeration date
01/23/2006
Last updated
03/07/2023
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