Organization
RUSSELL SEAMONS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL GLENN SEAMONS D.M.D. (PRESIDENT)
(801) 773-1234
Entity
Organization
Contact information
Practice address
4902 S 1900 W, STE 2, ROY, UT 84067-2993
(801) 773-1234
(801) 773-9611
Mailing address
4902 S 1900 W, STE 2, ROY, UT 84067-2993
(801) 773-1234
(801) 773-9611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1409289922
UT
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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