White Dental, Pllc

NPI 1568751683 - Dentist - 1223G0001X

NPI Details
NPI 1568751683
Enumeration Date 03/29/2011
Last Updated 03/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RUSSELL EUGENE RUSSELL
Position PARTNER
Phone (435) 257-3210
Fax (435) 257-5436
Practice Location
431 W 600 N
TREMONTON UT, 84337-2411, US
Phone (435) 257-3210
Fax (435) 257-5436
Business Location
PO BOX 236
TREMONTON UT, 84337-0236, US
Phone (435) 257-3210
Fax (435) 257-5436
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, White Dental, Pllc NPI is 1568751683, taxonomy code is 1223G0001X White Dental, Pllc physically located at 431 W 600 N, Tremonton UT, 84337-2411. NPI Number 1033115704 has the healthcare provider type.

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1568751683 NPI number is provided on an as is basis without warranty of any kind. 1568751683 is maintained by the National Plan & Provider Enumeration System. The contents of White Dental, Pllc are for informational purposes only.