Individual
DR. AMBER J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
331 SIJAN AVE, WHITEMAN AFB, MO 65305
(660) 687-2201
Mailing address
331 SIJAN AVE, WHITEMAN AFB, MO 65305
(660) 687-2201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9374
OR
Other
Enumeration date
09/02/2010
Last updated
01/10/2022
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