Individual
DR. KERRY M RUSSELL-OLSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15704 MILL CREEK BLVD, MILL CREEK, WA 98012
(425) 337-5549
Mailing address
15704 MILL CREEK BLVD, MILL CREEK, WA 98012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60302120
WA
Other
Enumeration date
10/15/2012
Last updated
09/10/2014
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