DR. ELISA RUSSELL, DDS
Dentist
Active
Individual
NPI: 1366568859
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 25276 (CA) |
| Dentist - General Practice | 1223G0001X | No | 25276 (CA) |
Frequently Asked Questions
NPI 1366568859 is the National Provider Identifier for DR. ELISA RUSSELL, DDS, a Dentist provider located in Moraga, CA. This NPI was enumerated on March 22, 2007.
DR. ELISA RUSSELL, DDS practices at 1722 SAINT ANDREWS DR, Moraga, CA 94556.
Quick Facts
- NPI
- 1366568859
- Type
- Individual
- Enumerated
- Mar 22, 2007
- Last Updated
- Oct 18, 2013
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