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Kenneth Russell, D.D.S
NPI 1366543258 · on the registry since 2006
Practice
- Address
- 1480 Rymco Dr Ste B
Winston Salem, NC 27103 - Phone
- (336) 768-7940
- Fax
- (336) 768-5985
- Organisation at this address
- Kostelic & Associates 2, Pllc
Kenneth R,. Russell, D.D.S. PaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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 North Carolina