BENJAMIN T RUSSELL DMD LLC

GRESHAM, OR
NPI1881247039
Entity TypeOrganization
Authorized ContactBENJAMIN RUSSELL
Owner
503-667-2442
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-07-17
Last Update Date2019-07-17
Business Address
BENJAMIN T RUSSELL DMD LLC
742 NE DIVISION ST STE 102
GRESHAM, OR 97030-3979
Phone number: 503-667-2442
Mailing Address
BENJAMIN T RUSSELL DMD LLC
742 NE DIVISION ST STE 102
GRESHAM, OR 97030-3979
Phone number: 503-667-2442
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