Individual
MR. RUSSELL WILLIAM SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2715
(504) 941-8113
Mailing address
3805 HOUMA BLVD UNIT B224, METAIRIE, LA 70006-4170
(864) 616-7335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7502
LA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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