DR. RUSSELL BOULTON, DDS
Dentist - General Practice
Active
Individual
NPI: 1770709511
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 131570 (UT) |
Frequently Asked Questions
NPI 1770709511 is the National Provider Identifier for DR. RUSSELL BOULTON, DDS, a Dentist - General Practice provider located in Holladay, UT. This NPI was enumerated on April 18, 2007.
DR. RUSSELL BOULTON, DDS practices at 2180 E 4500 S, #275, Holladay, UT 84117.
Quick Facts
- NPI
- 1770709511
- Type
- Individual
- Enumerated
- Apr 18, 2007
- Last Updated
- Jul 8, 2007
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