Individual
RUSSELL IRVING WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
930 W FOOTHILL BLVD, UPLAND, CA 91786-3756
(909) 931-9571
Mailing address
1058 TRUCHARD LN, LINCOLN, CA 95648-8129
(916) 543-6032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27497
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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