Organization
H PATRICK RUSSELL II DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H PATRICK RUSSELL II DMD (OWNER DENTIST)
(540) 772-7135
Entity
Organization
Contact information
Practice address
4736 STARKEY RD STE B, ROANOKE, VA 24018
(540) 772-7135
(540) 772-1317
Mailing address
4736 STARKEY RD STE B, ROANOKE, VA 24018
(540) 772-7135
(540) 772-1317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7391
VA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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