BENJAMIN T RUSSELL

GRESHAM, OR
NPI1922168343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OR  D8729)
Enumeration Date2006-12-08
Last Update Date2019-07-17
Business Address
BENJAMIN T RUSSELL DMD
742 NE DIVISION ST STE 102
GRESHAM, OR 97030-3979
Phone number: 503-667-2442
Mailing Address
BENJAMIN T RUSSELL DMD
363 SE 4TH AVE
HILLSBORO, OR 97123-4281
Phone number: 503-756-9046
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