Individual
RUSSELL D YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1928 E MAIN ST, MESA, AZ 85203-9024
(480) 729-6090
Mailing address
144 S OLIVE, MESA, AZ 85204-1036
(480) 329-4091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010698
AZ
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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