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Search › California › Pediatric Dentistry

Samuel Russom, DDS

NPI 1144719196 · on the registry since 2018 · sole proprietor

Practice

Address
2015 Birch Rd Ste 103
Chula Vista, CA 91915
Phone
(619) 391-9287
Organisation at this address
Hambrick Health Care
Luxottica Of America Inc.
Chieu Pham Dental Corporation
C Pham & S Mauseth Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-28

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 California