JEAN RUSSELL

DORCHESTER, MA
NPI1801037544
Other NameJEAN RUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MA  4105)
Enumeration Date2009-03-10
Last Update Date2009-03-10
Business Address
-- JEAN RUSSELL
250 MOUNT VERNON ST
DORCHESTER, MA 02125-3120
Phone number: 617-288-1140
Mailing Address
-- JEAN RUSSELL
50 REDFIELD ST SUITE 302
DORCHESTER, MA 02122-3630
Phone number: 617-506-5160