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1831108463
TIMOTHY ELMER RUSSELL
ALEXANDRIA, VA
NPI
1831108463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401003282)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY ELMER RUSSELL
2616 SHERWOOD HALL LANE SUITE 405
ALEXANDRIA, VA 22306
Phone number: 703-360-1776
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Mailing Address
Dr. TIMOTHY ELMER RUSSELL
2616 SHERWOOD HALL LANE SUITE 405
ALEXANDRIA, VA 22306
Phone number: 703-360-1776
Copy
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