RUSSELL LAROY CHRISTIAN

MOUNT HOREB, WI
NPI1336149525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4703-015)
Enumeration Date2005-07-28
Last Update Date2022-12-21
Business Address
RUSSELL LAROY CHRISTIAN DDS
522 SPRINGDALE ST STE 101
MOUNT HOREB, WI 53572-1780
Phone number: 608-437-5564
Mailing Address
RUSSELL LAROY CHRISTIAN DDS
522 SPRINGDALE ST SUITE 101
MOUNT HOREB, WI 53572-1780
Phone number: 608-437-5564
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