RUSSELL G. ANDERSON

KENNESAW, GA
NPI1811068620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  011457)
Enumeration Date2006-11-13
Last Update Date2007-07-08
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
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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