Individual
DR. AMY D RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1651 MOUNT VERNON RD, DUNWOODY, GA 30338-4264
(770) 394-3920
(770) 393-0741
Mailing address
1651 MOUNT VERNON RD, DUNWOODY, GA 30338-4264
(770) 394-3920
(770) 393-0741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO12813
GA
Other
Enumeration date
06/05/2007
Last updated
04/05/2012
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