Individual
DR. CYNTHIA RAE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3294 ROYAL DR STE 103, CAMERON PARK, CA 95682-8503
(530) 676-0127
(530) 676-0129
Mailing address
3294 ROYAL DR STE 103, CAMERON PARK, CA 95682-8503
(530) 676-0127
(530) 676-0129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41303
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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