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Individual

DR. RUSSELL DEAN MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9 ROOSEVELT STREET, MANCHESTER, NH 03102
(603) 625-9823
Mailing address
9 ROOSEVELT STREET, MANCHESTER, NH 03102
(603) 625-9823

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2574
NH

Other

Enumeration date
07/05/2006
Last updated
07/08/2007
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