GREG THOMAS RUSSELL

ST AUGUSTINE, FL
NPI1548290091
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  DN 8974)
Enumeration Date2006-07-03
Last Update Date2018-03-07
Business Address
DR. GREG THOMAS RUSSELL D.M.D.
2520 US HIGHWAY 1 S
ST AUGUSTINE, FL 32086-6194
Phone number: 904-797-7901
Mailing Address
DR. GREG THOMAS RUSSELL D.M.D.
PO BOX 3184
ST AUGUSTINE, FL 32085-3184
Phone number: 904-797-7901
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