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Individual

DR. RUSSELL SCOTT WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, M.D.

Contact information

Practice address
103 BURNETT CT, WOODWAY, TX 76712-3100
(254) 399-9925
(254) 399-9930
Mailing address
103 BURNETT CT, WOODWAY, TX 76712-3100
(254) 399-9925
(254) 399-9930

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20878
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M9730
TX

Other

Enumeration date
02/02/2008
Last updated
09/30/2008
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