Russell Guymon Orthodontics, PA
NPI #1194097402 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1194097402
- Entity Type
- Organization
- Organization Name
- Russell Guymon Orthodontics, PA
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Feb 1, 2012
- Last Updated
- Feb 1, 2012
Practice Location
- Address
- 333 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4322
- Phone
- (208) 529-3500
Authorized Official
- Name
- DR. RUSSELL J GUYMON, DDS, MS
- Title
- OWNER/ORTHODONTIST
- Phone
- (208) 529-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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