Individual
DR. RUSS PAUL ANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
57 W TIMONIUM RD, SUITE 104, TIMONIUM, MD 21093-3125
(410) 308-3535
(410) 308-8964
Mailing address
1 LOUIS EDWARD CT, HUNT VALLEY, MD 21030-1518
(410) 229-9858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10476
MD
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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