Individual
DR. RUSSELL ALAN GORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1840 FOREST HILL BLVD, SUITE #202, WEST PALM BEACH, FL 33406-6063
(561) 967-0476
(561) 967-9138
Mailing address
1840 FOREST HILL BLVD, SUITE #202, WEST PALM BEACH, FL 33406-6063
(561) 967-0476
(561) 967-9138
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15413
FL
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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