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1700279197
RUSSELL G. LEWIS
SANDY, UT
NPI
1700279197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 294428-9922)
Enumeration Date
2015-03-10
Last Update Date
2015-03-10
Business Address
-- RUSSELL G. LEWIS D.D.S.
1434 E. 9400 S. STE 201
SANDY, UT 84093
Phone number: 801-572-0942
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Mailing Address
-- RUSSELL G. LEWIS D.D.S.
1434 E 9400 S STE 201
SANDY, UT 84093-2900
Phone number: 801-572-0942
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