Individual
DR. DEBORAH KRYSTAL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5542 WALZEM RD, WINDCREST, TX 78218-2103
(210) 922-7000
(210) 637-2484
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 637-2484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32521
TX
Other
Enumeration date
03/27/2017
Last updated
07/12/2017
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