Russell J Guymon D.D.S., M.S.

NPI 1003133174 - Dentist - 1223X0400X

NPI Details
NPI 1003133174
Gender Male
Enumeration Date 04/28/2010
Last Updated 10/20/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
191 N 200 E
LOGAN UT, 84321-4605, US
Phone (435) 752-5991
Fax
Business Location
191 N 200 E
LOGAN UT, 84321-4605, US
Phone (435) 752-5991
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Idaho
License Number D-4402-OR
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According to our database, Dr. Russell J Guymon D.D.S., M.S. NPI is 1003133174, taxonomy code is 1223X0400X and license number is D-4402-OR, license state is located at Idaho. Russell J Guymon D.D.S., M.S. physically located at 191 N 200 E, Logan UT, 84321-4605. NPI Number Russell J Guymon D.D.S., M.S. has the Individual type.

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1003133174 NPI number is provided on an as is basis without warranty of any kind. 1003133174 is maintained by the National Plan & Provider Enumeration System. The contents of Russell J Guymon D.D.S., M.S. are for informational purposes only.