Individual
DR. DAVID ROBERT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8334 WINTER GARDENS BLVD, LAKESIDE, CA 92040-5409
(619) 443-7898
(619) 443-4404
Mailing address
8334 WINTER GARDENS BLVD, LAKESIDE, CA 92040-5409
(619) 443-7898
(619) 443-4404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33844
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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