JASON PHILIP RUSSELL

LOUISVILLE, KY
NPI1285622449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  7604)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
Dr. JASON PHILIP RUSSELL D.M.D.
2416 FRANKFORT AVE SUITE 3
LOUISVILLE, KY 40206-2571
Phone number: 502-893-1990
Mailing Address
Dr. JASON PHILIP RUSSELL D.M.D.
2416 FRANKFORT AVE SUITE 3
LOUISVILLE, KY 40206-2571
Phone number: 502-893-1990
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