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1023106630
RUSSELL BORTNEM
KINGWOOD, TX
NPI
1023106630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15848)
Enumeration Date
2006-10-10
Last Update Date
2013-03-18
Business Address
Dr. RUSSELL BORTNEM DDS
3923 RUSTIC WOODS DR SUITE A
KINGWOOD, TX 77339-2611
Phone number: 281-360-8400
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Mailing Address
Dr. RUSSELL BORTNEM DDS
3923 RUSTIC WOODS DR SUITE A
KINGWOOD, TX 77339-2611
Phone number: 281-360-8400
Copy
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