ANTHONY RUSSELL IMMEDIATA

RALEIGH, NC
NPI1609809292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NC  5022)
Enumeration Date2006-07-08
Last Update Date2007-07-08
Business Address
Dr. ANTHONY RUSSELL IMMEDIATA DMD, PA
7101 CREEDMOOR RD SUITE 109
RALEIGH, NC 27613-1682
Phone number: 919-846-5500
Mailing Address
Dr. ANTHONY RUSSELL IMMEDIATA DMD, PA
7101 CREEDMOOR RD SUITE 109
RALEIGH, NC 27613-1682
Phone number: 919-846-5500
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