Individual
DR. RUSSELL JOHN DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
P. O. DRAWER PH, CHINLE, AZ 86503-4120
(928) 674-7546
Mailing address
1881 N MASTICK WAY, SUITE 500, NOGALES, AZ 85621-4120
(520) 281-2426
(520) 281-0944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3802
AZ
Other
Enumeration date
10/06/2006
Last updated
06/27/2019
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