DIRK RUSSELL D.M.D., P.C.

CANTON, GA
NPI1689754202
Entity TypeOrganization
Authorized ContactDIRK RUSSELL
Owner
770-345-2010
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  DN012158)
Enumeration Date2006-10-17
Last Update Date2007-08-28
Business Address
DIRK RUSSELL D.M.D., P.C.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115-9339
Phone number: 770-345-2010
Mailing Address
DIRK RUSSELL D.M.D., P.C.
8014 CUMMING HWY SUITE 401
CANTON, GA 30115-9339
Phone number: 770-345-2010
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