PHILIP HOSTAGE RUSSELL

MANCHESTER, VT
NPI1861526568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VT  016-0000760)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Dr. PHILIP HOSTAGE RUSSELL D.M.D.
4313 MAIN ST.
MANCHESTER, VT 05254
Phone number: 802-362-2151
Mailing Address
Dr. PHILIP HOSTAGE RUSSELL D.M.D.
PO BOX 586
MANCHESTER, VT 05254-0586
Phone number: 802-362-2151