ERIC G RUSSELL DDS LLC

OGDEN, UT
NPI1003462292
Entity TypeOrganization
Authorized ContactERIC GORDON RUSSELL
Owner/Member Manager
801-644-4605
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-08-13
Last Update Date2019-08-13
Business Address
ERIC G RUSSELL DDS LLC
5685 S 1475 E STE 4A
OGDEN, UT 84403-4598
Phone number: 801-475-4646
Mailing Address
ERIC G RUSSELL DDS LLC
5685 S 1475 E STE 4A
OGDEN, UT 84403-4598
Phone number: 801-475-4646
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