Organization
MARK W. RUSSELL, DMD, PLLC
Active
Other names
Russell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. RUSSELL DMD (MEMBER AND MANAGER)
(252) 633-4444
Entity
Organization
Contact information
Practice address
2815 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-4444
(252) 638-1586
Mailing address
2815 VILLAGE WAY, TRENT WOODS, NC 28562-7351
(252) 633-4444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
06/03/2022
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