BENJAMIN RUSSELL, DMD
Dentist - Periodontics
Active
Individual
NPI: 1922168343
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | D8729 (OR) |
Frequently Asked Questions
NPI 1922168343 is the National Provider Identifier for BENJAMIN RUSSELL, DMD, a Dentist - Periodontics provider located in Gresham, OR. This NPI was enumerated on December 8, 2006.
BENJAMIN RUSSELL, DMD practices at 742 NE DIVISION ST STE 102, Gresham, OR 97030.
Quick Facts
- NPI
- 1922168343
- Type
- Individual
- Enumerated
- Dec 8, 2006
- Last Updated
- Jul 17, 2019
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