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1265634638
AMY D RUSSELL
DUNWOODY, GA
NPI
1265634638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DNO12813)
Enumeration Date
2007-06-05
Last Update Date
2012-04-05
Business Address
Dr. AMY D RUSSELL DMD
1651 MOUNT VERNON RD
DUNWOODY, GA 30338-4264
Phone number: 770-394-3920
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Mailing Address
Dr. AMY D RUSSELL DMD
1651 MOUNT VERNON RD
DUNWOODY, GA 30338-4264
Phone number: 770-394-3920
Copy
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