Organization
RUSSELL T. RAS, DDS,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL THOMAS RAS DDS (OWNER)
(708) 354-2227
Entity
Organization
Contact information
Practice address
6538 JOLIET RD, COUNTRYSIDE, IL 60525-4649
(708) 354-2227
(708) 354-2367
Mailing address
6538 JOLIET RD, COUNTRYSIDE, IL 60525-4649
(708) 354-2227
(708) 354-2367
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.020398
IL
Other
Enumeration date
04/11/2007
Last updated
01/16/2014
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