Keith Edmund Russell is a General Practice Dentistry based in Portland, ME and is specialized in General Practice. Keith Edmund Russell practices in Portland, ME and has the professional credentials of DMD. The NPI Number for Keith Edmund Russell is 1447328752 and holds a License No. 3414 (Maine).
The current practice location address for Keith Edmund Russell is 495 Woodford St, Portland, ME and can be reached out via phone at 207-772-6966 and via fax at 207-761-0756.
Identifier | Type | State | Issuer |
---|---|---|---|
264030099 | 05 | ME | |
043377401 | 01 | ME | INDIVIDUAL TAX ID # |
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