Individual
RUSSELL ALLEN POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9212
CO
Other
Enumeration date
11/16/2006
Last updated
07/19/2021
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