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1811068620
RUSSELL G. ANDERSON
KENNESAW, GA
NPI
1811068620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 011457)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL G. ANDERSON D.M.D.
1415 WOOTEN LAKE RD NW SUITE 300
KENNESAW, GA 30144-1350
Phone number: 770-419-2535
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Mailing Address
Dr. RUSSELL G. ANDERSON D.M.D.
1415 WOOTEN LAKE RD NW SUITE 300
KENNESAW, GA 30144-1350
Phone number: 770-419-2535
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