DAVID LEE RUSSELL

FORT WALTON BEACH, FL
NPI1336269109
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: FL  9126)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
Dr. DAVID LEE RUSSELL DMD, MS.
14 RACETRACK RD NW
FORT WALTON BEACH, FL 32547-1642
Phone number: 850-863-3194
Mailing Address
Dr. DAVID LEE RUSSELL DMD, MS.
14 RACETRACK RD NW
FORT WALTON BEACH, FL 32547-1642
Phone number: 850-863-3194
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