Individual
DR. CAMERON M RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1051 WEST 200 NORTH, SUITE A, KAYSVILLE, UT 84037
(801) 498-7668
(801) 593-9581
Mailing address
1051 WEST 200 NORTH, SUITE A, KAYSVILLE, UT 84037
(801) 498-7668
(801) 593-9581
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5602508-9922
UT
Other
Enumeration date
11/14/2006
Last updated
08/17/2015
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