Individual
RUSSELL WIRTHLIN FARNSWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2651 W 10400 S, SUITE 103, SOUTH JORDAN, UT 84095-8953
(801) 446-1515
(801) 446-5290
Mailing address
2651 W 10400 S, SUITE 103, SOUTH JORDAN, UT 84095-8953
(801) 446-1515
(801) 446-5290
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5667938
UT
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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