Individual
RUSSELL A MARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
360 14TH ST NW, ATLANTA, GA 30318-9114
(404) 892-3822
(404) 892-8521
Mailing address
360 14TH ST NW, ATLANTA, GA 30318-9114
(404) 892-3822
(404) 892-8521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010639
GA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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