Individual
DR. RUSSELL GARRETT CORTEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 W PAGES LN # 100, BOUNTIFUL, UT 84010-5988
(801) 292-1222
Mailing address
298 EDGEMONT DR, NORTH SALT LAKE, UT 84054-2636
(925) 784-8289
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14235846-9926
UT
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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