KENNETH RUSSELL, DDS

Dentist - General Practice

Active Individual
NPI: 1164510665

Practice Address

17121 SE 270TH PLACE
Covington, WA 98042

Phone: (253) 630-5500

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 5098 (WA)

Frequently Asked Questions

NPI 1164510665 is the National Provider Identifier for KENNETH RUSSELL, DDS, a Dentist - General Practice provider located in Covington, WA. This NPI was enumerated on October 10, 2006.
KENNETH RUSSELL, DDS practices at 17121 SE 270TH PLACE, Covington, WA 98042.

Quick Facts

NPI
1164510665
Type
Individual
Enumerated
Oct 10, 2006
Last Updated
Jul 8, 2007

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