Larry Russell, D.D.S
NPI 1053500975 · on the registry since 2007 · sole proprietor
Practice
- Address
- 519 W Euclid Ave
Phoenix, AZ 85041 - Phone
- (602) 312-6003
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona