Organization
JEREMY RANCH DENTAL CENTER
Active
Other names
Albion Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN RUSSELL D.M.D. (DENTIST)
(435) 940-9900
Entity
Organization
Contact information
Practice address
2700 HOMESTEAD RD, SUITE # 130, PARK CITY, UT 84098-4857
(435) 940-9900
Mailing address
2700 HOMESTEAD RD, SUITE # 130, PARK CITY, UT 84098-4857
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57294409922
UT
Other
Enumeration date
08/27/2006
Last updated
08/22/2020
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