JENNIFER ANN RUSSELL

GREEN BAY, WI
NPI1508375130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  1001792)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-09-27
Last Update Date2025-02-26
Business Address
JENNIFER ANN RUSSELL DDS
2851 UNIVERSITY AVE
GREEN BAY, WI 54311
Phone number: 920-431-2500
Mailing Address
JENNIFER ANN RUSSELL DDS
2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855
Phone number: