Individual
MR. RUSSELL M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1054 E RIVERSIDE DR # 100, ST GEORGE, UT 84790-4477
(435) 656-8888
(435) 656-8895
Mailing address
1054 E RIVERSIDE DR # 100, ST GEORGE, UT 84790-4477
(435) 656-8888
(435) 656-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
294141-9922
UT
Other
Enumeration date
02/14/2007
Last updated
11/18/2009
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