Russell Gene Boester, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Anna, IL

NPI

1982621686

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

019-022146 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-17

Last updated

2022-04-21