Individual
BARBARA B RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
403 S CENTER, SHELBINA, MO 63468-0276
(573) 588-4322
Mailing address
403 S CENTER, SHELBINA, MO 63468-0276
(573) 588-4322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13154
MO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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