Individual
DR. PAUL GERARD RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6132 W CREEK RD, INDEPENDENCE, OH 44131-2130
(216) 524-8481
(216) 520-2868
Mailing address
6132 W CREEK RD, INDEPENDENCE, OH 44131-2130
(216) 524-8481
(216) 520-2868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-02-1773
OH
Other
Enumeration date
03/29/2007
Last updated
12/18/2007
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