| NPI | 1922029347 |
|---|---|
| Other Name | ROXANN RUSSELL AVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN18794) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 016103) |
| 122300000X Dentist (Licence: TX 17627) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-12-30 |