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1487734067
ANDREA W. RUSSELL
CANTON, GA
NPI
1487734067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN012175)
Enumeration Date
2006-10-17
Last Update Date
2007-09-04
Business Address
Dr. ANDREA W. RUSSELL D.M.D.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115-9339
Phone number: 770-345-2010
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Mailing Address
Dr. ANDREA W. RUSSELL D.M.D.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115-9339
Phone number: 770-345-2010
Copy
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