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Individual

FIONA RUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5424 BULLPEN DR, FONTANA, CA 92336-0141
(310) 886-9188
Mailing address
5424 BULLPEN DR, FONTANA, CA 92336-0141
(310) 886-9188

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP1231
CA

Other

Enumeration date
06/15/2026
Last updated
06/15/2026
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