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1962666529
RUSSELL SMITH
PARK CITY, UT
NPI
1962666529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 5587305-9921)
Enumeration Date
2008-07-14
Last Update Date
2012-08-01
Business Address
-- RUSSELL SMITH D.M.D
6415 BUSINESS PARK LOOP RD STE J
PARK CITY, UT 84098-6218
Phone number: 801-693-8147
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Mailing Address
-- RUSSELL SMITH D.M.D
114 W 550 N
CENTERVILLE, UT 84014-1825
Phone number: 801-693-8147
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