HEATHER M RUSSELL

COEUR D ALENE, ID
NPI1942551460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-5195)
Additional Taxonomies122300000X Dentist
(Licence: CA  60980)
Enumeration Date2012-09-24
Last Update Date2021-08-25
Business Address
Dr. HEATHER M RUSSELL D.D.S.
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-292-0697
Mailing Address
Dr. HEATHER M RUSSELL D.D.S.
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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