Individual
CORINNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5053 W BERRY CREEK DR, RIVERTON, UT 84096-7511
(801) 919-9611
Mailing address
5053 W BERRY CREEK DR, RIVERTON, UT 84096-7511
(801) 919-9611
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8193043-9920
UT
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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