John D. Russell, DDS
General Dentistry · Shasta Lake City, CA
UnclaimedDDSNPI 1902958077
- Primary taxonomy
- 122300000X
- Enumerated
- 2007-01-17
- Practice location
- Shasta Lake City, CA
- Last NPPES update
- 2007-07-08
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.