Individual
DR. RUSSELL E. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
431 W 600 N, TREMONTON, UT 84337-2411
(435) 257-3210
(435) 257-5436
Mailing address
431 W 600 N, P.O. BOX 236, TREMONTON, UT 84337-2411
(435) 257-3210
(435) 257-5436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140614
UT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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