SAMUEL RUSSOM, DDS

DDS

Pediatric Dentistry

NPI: 1144719196Individual

Specialties, Licenses & Credentials

Pediatric DentistryPrimary

Dentist — Pediatric Dentistry

Code: 1223P0221X

DDS104651(CA)

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Contact & Hours

Address: 2015 BIRCH RD STE 103
CHULA VISTA, CA 91915
Phone: (619) 391-9287

Quick Facts

NPI: 1144719196
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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