BRADLY RUSSELL, DDS

DDS

Oral and Maxillofacial Surgery (Dentist)

NPI: 1932490307Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

30.0239911(OH)11536(NC)30-023991(OH)

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Contact & Hours

Address: 1601 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Phone: (336) 765-9550

Quick Facts

NPI: 1932490307
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 4
Locations: 1

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