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1376529073
DAVID ALAN RUSSELL
CAMP LEJEUNE, NC
NPI
1376529073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401008350)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
-- DAVID ALAN RUSSELL DDS
2D DENTAL BATTALION NAVAL DENTAL CENTER
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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Mailing Address
-- DAVID ALAN RUSSELL DDS
PSC BOX 20130
CAMP LEJEUNE, NC 28542-0130
Phone number: 910-451-2208
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