CARL M. RUSSELL

CANTON, GA
NPI1902873276
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: GA  11115)
Enumeration Date2006-03-04
Last Update Date2007-07-08
Business Address
DR. CARL M. RUSSELL DMD, PHD
6488 HICKORY FLAT HWY
CANTON, GA 30115-7235
Phone number: 770-720-8138
Mailing Address
DR. CARL M. RUSSELL DMD, PHD
6488 HICKORY FLAT HWY
CANTON, GA 30115-7235
Phone number: 770-720-8138
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