Individual
DAVID DOSHIER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
924 N BROADWAY ST, PITTSBURG, KS 66762-3910
(620) 231-6788
(620) 231-2331
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-2808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4499
KS
Other
Enumeration date
02/28/2006
Last updated
08/14/2012
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