RUSSELL KLEIN, DMD
Dentist - General Practice
Active
Individual
NPI: 1639397128
Practice Address
374 E GRAND AVESTUDENT HEALTH CENTER SIVC
Carbondale, IL 62901
Phone: (618) 536-2421
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | - |
Frequently Asked Questions
NPI 1639397128 is the National Provider Identifier for RUSSELL KLEIN, DMD, a Dentist - General Practice provider located in Carbondale, IL. This NPI was enumerated on April 23, 2007.
RUSSELL KLEIN, DMD practices at 374 E GRAND AVE, STUDENT HEALTH CENTER SIVC, Carbondale, IL 62901.
Quick Facts
- NPI
- 1639397128
- Type
- Individual
- Enumerated
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
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