Individual
DR. KATHY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 CHURCH ST, LINDEN, TX 75563
(903) 756-5154
(903) 756-3995
Mailing address
PO BOX 1349, LINDEN, TX 75563
(903) 756-7721
(903) 756-3995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13129
TX
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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