Organization · Type 2 NPI

Eric G Russell DDS LLC

Dental Clinic/Center · Ogden, UT

NPI number 1003462292 Active

Practice location

5685 S 1475 E Ste 4A
Ogden, UT 84403-4598

Call (801) 475-4646 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1003462292

Eric G Russell DDS LLC's National Provider Identifier is 1003462292, issued on Aug 13, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ogden, UT. The record was last updated on Aug 13, 2019.