| NPI | 1346310505 |
|---|---|
| Former Legal Business Name | DRS. RUSSELL, PIKE & NELSON, PC |
| Former Legal Business Name | DRS. RUSSELL, PIKE, & NELSON, PC |
| Entity Type | Organization |
| Authorized Contact | PAMELA PHILLIPS Office Manager 304-263-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-02-21 |