Individual
RUSSELL M DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10912 COLONEL GLENN RD, SUITE 3500, LITTLE ROCK, AR 72204-8010
(501) 568-6253
Mailing address
10912 COLONEL GLENN RD, SUITE 3500, LITTLE ROCK, AR 72204-8010
(501) 568-6253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2981
AR
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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