Organization
RUSSELL J. DUKE D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL JOHN DUKE D.M.D. (PRESIDENT)
(520) 281-2426
Entity
Organization
Contact information
Practice address
1881 N MASTICK WAY, SUITE 500, NOGALES, AZ 85621-4120
(520) 281-2426
Mailing address
1881 N MASTICK WAY, SUITE 500, NOGALES, AZ 85621-4120
(520) 281-2426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3802
AZ
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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