Individual
DR. JAMES TIMOTHY RUSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 684-6509
(813) 685-9447
Mailing address
123 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 684-6509
(813) 685-9447
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 10828
FL
Other
Enumeration date
05/27/2005
Last updated
11/05/2010
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