Individual
DR. DAVID A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 N BENTON DR, SAUK RAPIDS, MN 56379-1535
(320) 253-4206
(320) 202-7803
Mailing address
400 N BENTON DR, SAUK RAPIDS, MN 56379-1535
(320) 253-4206
(320) 202-7803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12399
MN
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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