Individual
DAVID CAMAIONI RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8653
Mailing address
332 LEGATO CIR APT 304, VIRGINIA BEACH, VA 23462-4280
(252) 422-8287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417988
VA
Other
Enumeration date
07/22/2022
Last updated
12/01/2022
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