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1215030218
LAURA W RUSSELL
WAUWATOSA, WI
NPI
1215030218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5875015)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Dr. LAURA W RUSSELL DDS
8726 W NORTH AVE
WAUWATOSA, WI 53226-2724
Phone number: 414-258-5351
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Mailing Address
Dr. LAURA W RUSSELL DDS
1485 BARRINGTON WOODS DR
BROOKFIELD, WI 53045-2210
Phone number: 262-784-8963
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