BENJAMIN RUSSELL

PARK CITY, UT
NPI1013331339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  5729440)
Enumeration Date2014-02-06
Last Update Date2014-02-06
Business Address
-- BENJAMIN RUSSELL D.D.S.
2700 HOMESTEAD RD #130
PARK CITY, UT 84098-4857
Phone number: 435-940-9900
Mailing Address
-- BENJAMIN RUSSELL D.D.S.
2700 HOMESTEAD RD #130
PARK CITY, UT 84098-4857
Phone number: 435-940-9900