Individual
DR. QUAID A RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
COMMANDING OFFICER, NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 451-2208
Mailing address
COMMANDING OFFICER, NAVAL MEDICAL CENTER, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 451-2208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14089252-9926
UT
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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