Boulton, Russell Lynn
Boulton, Russell Lynn is an individual health care provider with primary practice located at 2180 E 4500 S #275, Holladay UT 84117-4434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boulton, Russell Lynn can be contacted via phone (801) 277-9681.Contact Information
Primary practice address
2180 E 4500 S #275
Holladay UT 84117-4434
Phone: (801) 277-9681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 131570 | Utah |
Profile Details
| NPI number | 1770709511 |
|---|---|
| LBN Legal business name | Boulton, Russell Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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