RUSSELL KING BASS

COPPELL, TX
NPI1134121288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TX  14604)
Enumeration Date2005-06-01
Last Update Date2007-07-08
Business Address
Dr. RUSSELL KING BASS D.D.S.
220 S DENTON TAP RD STE 101
COPPELL, TX 75019-5098
Phone number: 972-393-6880
Mailing Address
Dr. RUSSELL KING BASS D.D.S.
220 S DENTON TAP RD STE 101
COPPELL, TX 75019-5098
Phone number: 972-393-6880