RUSSELL BROOKS LEGG

CLAY, WV
NPI1285673905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WV  WV-2123)
Enumeration Date2006-06-06
Last Update Date2011-12-13
Business Address
Dr. RUSSELL BROOKS LEGG D.D.S.
63 CARR ST
CLAY, WV 25043-9402
Phone number: 304-587-4232
Mailing Address
Dr. RUSSELL BROOKS LEGG D.D.S.
63 CARR ST P. O. BOX 568
CLAY, WV 25043-9402
Phone number: 304-587-4232
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