| J Christopher Russell Dds Aa Professionalcorporation | |
|
3302 E Broadway Long Beach CA 90803-5905 | |
| (562) 438-9486 | |
| (562) 438-0152 |
| Full Name | J Christopher Russell Dds Aa Professionalcorporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3302 E Broadway, Long Beach, California |
| Authorized Official Name and Position | J Christopher Russell (PRESIDENT AND CFO) |
| Authorized Official Contact | 5624389486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Christopher Russell Dds Aa Professionalcorporation 3302 E Broadway Long Beach CA 90803-5905 Ph: (562) 438-9486 | J Christopher Russell Dds Aa Professionalcorporation 3302 E Broadway Long Beach CA 90803-5905 Ph: (562) 438-9486 |
| NPI Number | 1801275318 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801275318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37491 (California) | Primary |
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