ERIC GORDON RUSSELL

SALT LAKE CITY, UT
NPI1558852269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  7301384-9922)
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
Dr. ERIC GORDON RUSSELL DDS
4465 S 900 E STE 100
SALT LAKE CITY, UT 84124-2695
Phone number: 801-281-0100
Mailing Address
Dr. ERIC GORDON RUSSELL DDS
2320 E LAMBOURNE AVE
SALT LAKE CITY, UT 84109-2708
Phone number: 801-644-4605
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