Individual
DR. RUSSELL THOMAS RAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6538 JOLIET RD, COUNTRYSIDE, IL 60525-4649
(708) 354-2227
Mailing address
6538 JOLIET RD, COUNTRYSIDE, IL 60525-4649
(708) 354-2227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020398
IL
Other
Enumeration date
04/11/2007
Last updated
07/13/2016
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