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1306053988
BRETT V RUSSELL
COLUMBIA, MO
NPI
1306053988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 12933)
Enumeration Date
2007-05-16
Last Update Date
2009-06-16
Business Address
-- BRETT V RUSSELL dds
2310 FORUM BLVD SUITE A
COLUMBIA, MO 65203-5461
Phone number: 573-446-0032
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Mailing Address
-- BRETT V RUSSELL dds
2310 FORUM BLVD SUITE A
COLUMBIA, MO 65203-5461
Phone number: 573-446-0032
Copy
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