Individual
DR. THOMAS R RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 SANTA RITA RD, SUITE A, PLEASANTON, CA 94566-5663
(925) 485-9009
(925) 846-9947
Mailing address
1400 SANTA RITA RD, SUITE A, PLEASANTON, CA 94566-5663
(925) 485-9009
(925) 846-9947
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
28803
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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