Russell, Cynthia Rae

Russell, Cynthia Rae is an sole proprietor health care provider with primary practice located at 3294 Royal Dr Ste 103 , Cameron Park CA 95682-8503. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Russell, Cynthia Rae can be contacted via phone (530) 676-0127.

Contact Information

Primary practice address
3294 Royal Dr Ste 103 Cameron Park CA 95682-8503
Fax: (530) 676-0129
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 41303 California

Profile Details

NPI number 1770605412
LBN Legal business name Russell, Cynthia Rae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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