RUSSELL GUYMON ORTHODONTICS, PA

Dentist - Orthodontics and Dentofacial Orthopedics

Active Organization
NPI: 1194097402

Practice Address

333 S WOODRUFF AVE
Idaho Falls, ID 83401

Phone: (208) 529-3500

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes D-4402-OR (ID)

Frequently Asked Questions

NPI 1194097402 is the National Provider Identifier for RUSSELL GUYMON ORTHODONTICS, PA, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Idaho Falls, ID. This NPI was enumerated on February 1, 2012.

Quick Facts

NPI
1194097402
Type
Organization
Enumerated
Feb 1, 2012
Last Updated
Feb 1, 2012

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