Organization
RUSSELL ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON RUSSELL (ENDODONTIST, OWNER)
(801) 498-7668
Entity
Organization
Contact information
Practice address
1051 W 200 N STE A, KAYSVILLE, UT 84037-2412
(801) 498-7668
(801) 593-9581
Mailing address
1051 W 200 N STE A, KAYSVILLE, UT 84037-2412
(801) 498-7668
(801) 593-9581
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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