Individual
RUSSELL ROMAN SIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 WEST MAIN STREET, MELROSE, MN 56352
(320) 256-4267
(320) 256-4167
Mailing address
615 WEST MAIN STREET, MELROSE, MN 56352
(320) 256-4267
(320) 256-4167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7354
MN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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