ROGER T RUSSELL

SALT LAKE CITY, UT
NPI1093909434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  1934)
Enumeration Date2007-08-29
Last Update Date2007-08-29
Business Address
-- ROGER T RUSSELL
1956 BERKELEY ST
SALT LAKE CITY, UT 84108-3202
Phone number: 801-467-6290
Mailing Address
-- ROGER T RUSSELL
1956 BERKELEY ST
SALT LAKE CITY, UT 84108-3202
Phone number: 801-467-6290