Individual
DR. RUSSELL DEAN NISHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
911 HAMPSHIRE RD, SUITE 5, WESTLAKE VILLAGE, CA 91361-2818
(805) 496-0026
(805) 496-0050
Mailing address
911 HAMPSHIRE ROAD, SUITE 5, WESTLAKE VILLAGE, CA 91361-2818
(805) 496-0026
(805) 496-0050
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
34532
CA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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