Individual
RUSSELL ARTHUR VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 E MEEKER ST, STE 100, KENT, WA 98030-5904
(253) 796-4071
(253) 796-4076
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00006784
WA
1223G0001X
General Practice Dentistry
DE00006784
WA
Other
Enumeration date
08/26/2005
Last updated
12/18/2020
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