MRS. ALISA RUSSELL, RDH

Dental Hygienist

Active Individual
NPI: 1588190052

Practice Address

2080 CHILD ST
BLDG 964 DENTAL
Jacksonville, FL 32214

Phone: (904) 546-7175

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes DH 23693 (FL)

Frequently Asked Questions

NPI 1588190052 is the National Provider Identifier for MRS. ALISA RUSSELL, RDH, a Dental Hygienist provider located in Jacksonville, FL. This NPI was enumerated on May 3, 2017.
MRS. ALISA RUSSELL, RDH practices at 2080 CHILD ST, BLDG 964 DENTAL, Jacksonville, FL 32214.

Quick Facts

NPI
1588190052
Type
Individual
Enumerated
May 3, 2017
Last Updated
May 3, 2017

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