RUSSELL LYNN BOULTON

HOLLADAY, UT
NPI1770709511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  131570)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
Dr. RUSSELL LYNN BOULTON DDS
2180 E 4500 S #275
HOLLADAY, UT 84117-4434
Phone number: 801-277-9681
Mailing Address
Dr. RUSSELL LYNN BOULTON DDS
2180 E 4500 S #275
HOLLADAY, UT 84117-4434
Phone number: 801-277-9681
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