Individual
DR. THOMAS LLOYD RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 E 64TH TER, KANSAS CITY, MO 64131-1129
(816) 444-8969
Mailing address
5125 ROE BLVD, SUITE 100, ROELAND PARK, KS 66205-2358
(913) 831-4300
(913) 831-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2017032912
MO
Other
Enumeration date
09/27/2007
Last updated
11/29/2019
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