Individual
RAYMOND RUSSELL DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
991 SHEPARD LN STE 100, FARMINGTON, UT 84025-2973
(801) 447-5437
Mailing address
2116 SHARPSHOOTER DR, FARMINGTON, UT 84025-2688
(435) 256-5062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10336372-9922
UT
Other
Enumeration date
05/22/2017
Last updated
03/13/2021
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