Individual
RUSSEL E HARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1601 GEORGIAN PARK, PEACHTREE CITY, GA 30269
(770) 487-5346
Mailing address
1601 GEORGIAN PARK, PEACHTREE CITY, GA 30269
(770) 487-5346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12366
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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