Individual
KENDALL F RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 N COLORADO ST STE A, KENNEWICK, WA 99336-7825
(509) 783-7460
(509) 783-7328
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008279
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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