BRETT V RUSSELL

COLUMBIA, MO
NPI1306053988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MO  12933)
Enumeration Date2007-05-16
Last Update Date2009-06-16
Business Address
BRETT V RUSSELL DDS
2310 FORUM BLVD SUITE A
COLUMBIA, MO 65203-5461
Phone number: 573-446-0032
Mailing Address
BRETT V RUSSELL DDS
2310 FORUM BLVD SUITE A
COLUMBIA, MO 65203-5461
Phone number: 573-446-0032
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