Individual
DR. LESLIE E RUSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2124 OGDEN AVE STE 303, AURORA, IL 60504-7542
(630) 357-7877
Mailing address
2124 OGDEN AVE STE 303, AURORA, IL 60504-7542
(630) 357-7877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020249
IL
Other
Enumeration date
12/06/2006
Last updated
04/09/2025
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