GRANT RUSSELL

DMD specializing in dentist in Alton, Illinois

NPI: 1366129223

Provider Type

1

Practice Locations

Mailing Location

1859 EVERGREEN AVE

ALTON, IL 62002

📞 5732867977

Practice Location

1203 W DELMAR AVE

GODFREY, IL 62035

📞 6184663140

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:7/3/2023
Last Updated:7/3/2023

Credentials

Primary Credential:DMD
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