WILLIAM DIRK RUSSELL

CANTON, GA
NPI1114007887
Former NameDIRK W RUSSELL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  DN012158)
Enumeration Date2006-10-17
Last Update Date2021-12-06
Business Address
Dr. WILLIAM DIRK RUSSELL D.M.D.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115
Phone number: 770-345-2010
Mailing Address
Dr. WILLIAM DIRK RUSSELL D.M.D.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115
Phone number: 770-345-2010
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