Most Relevant Information
Provider Data
| NPI Number: | 1003520867 |
| Provider Name: | CLAIRE RUSSELL DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DDS109522 |
Most Important Dates
| Enumeration Date: | 01/06/2023 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
11301 WILSHIRE BLVD BLDG 500
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 3104783711 |
| Fax: |
Provider Mailing Location
4900 OVERLAND AVE UNIT 155
CULVER CITY
CA
902304265
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |