GRANT RUSSELL, DMD
Dentist - General Practice
Active
Individual
NPI: 1366129223
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 019.034468 (IL) |
Frequently Asked Questions
NPI 1366129223 is the National Provider Identifier for GRANT RUSSELL, DMD, a Dentist - General Practice provider located in Godfrey, IL. This NPI was enumerated on July 3, 2023.
GRANT RUSSELL, DMD practices at 1203 W DELMAR AVE, Godfrey, IL 62035.
Quick Facts
- NPI
- 1366129223
- Type
- Individual
- Enumerated
- Jul 3, 2023
- Last Updated
- Jul 3, 2023
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