NPI | 1801275318 |
---|---|
Former Legal Business Name | J CHRISTOPHER RUSSELL DDS |
Entity Type | Organization |
Authorized Contact | J CHRISTOPHER RUSSELL President And CFO 562-438-9486 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37491) |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-05-29 |