institution
Benjamin T Russell Dmd Llc
Dental Clinic/Center in Gresham, Oregon
NPI 1881247039

Benjamin T Russell Dmd Llc is a Dental Clinic/Center based in Gresham, OR and is specialized in Dental. Benjamin T Russell Dmd Llc practices in Gresham, OR. The NPI Number for Benjamin T Russell Dmd Llc is 1881247039 and holds a License No. (Oregon).

The current practice location address for Benjamin T Russell Dmd Llc is 742 Ne Division St Ste 102, Gresham, OR and can be reached out via phone at 503-667-2442. You can also correspond with Benjamin T Russell Dmd Llc through the mailing address at 742 NE DIVISION ST STE 102, GRESHAM, OR - 97030-3979 (mailing address contact number: 503-667-2442).

Location: 742 Ne Division St Ste 102, Gresham, OR, 97030-3979
institution
Provider Profile Details
NPI Number
1881247039
Provider Name
Benjamin T Russell Dmd Llc
Credential
Provider Entity Type
Organization
Address
742 Ne Division St Ste 102, Gresham, OR, 97030-3979
Phone Number
503-667-2442
Fax Number
Provider Enumeration Date
07/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
742 Ne Division St Ste 102
City
State
Zip
97030-3979
Phone Number
503-667-2442
Fax Number
person
Provider Business Mailing Address Details
Address
742 Ne Division St Ste 102
City
State
Zip
97030-3979
Phone Number
503-667-2442
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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