MIKE AUGUST RUSSELL

BATON ROUGE, LA
NPI1235214552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  LA4375)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Mr. MIKE AUGUST RUSSELL DDS
6721 GOVERNMENT STREET SUITE A
BATON ROUGE, LA 70806
Phone number: 225-924-2636
Mailing Address
Mr. MIKE AUGUST RUSSELL DDS
7355 LATIMER DRIVE
DENHAM SPRINGS, LA 70726
Phone number: 225-667-2151
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